首页|经皮内镜椎板间手术入路髓核摘除术联合核心肌群训练对腰椎间盘突出症术后患者疗效的临床研究

经皮内镜椎板间手术入路髓核摘除术联合核心肌群训练对腰椎间盘突出症术后患者疗效的临床研究

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目的 探究经皮内镜椎板间手术入路髓核摘除术联合核心肌群训练对腰椎间盘突出症术后患者疗效.方法 非随机选取2021年3月—2023年5月天水四零七医院收治的86例腰椎间盘突出症患者为研究对象,按治疗方法分为观察组与对照组,每组43例.观察组实施经皮内镜椎板间手术入路髓核摘除术联合核心肌群训练,对照组实施传统手术联合常规康复训练.对比两组手术相关指标、临床疗效、腰椎功能、生活质量评分以及并发症发生率.结果 观察组住院时间短于对照组,差异有统计学意义(P<0.05);观察组优良率(97.67%)高于对照组(79.07%),差异有统计学意义(χ2=7.242,P<0.05);治疗前,两组功能障碍指数、日本骨科协会评估治疗分数及生活质量评分对比,差异无统计学意义(P均>0.05),治疗后,两组均较治疗前改善,且观察组优于对照组,差异有统计学意义(P均<0.05).两组并发症相比,差异无统计学意义(P>0.05).结论 将手术和核心肌群训练结合,可促进患者腰椎功能的恢复,减轻其疼痛程度,值得临床借鉴.
Clinical Study on the Curative Effect of Percutaneous Endoscopic Inter-laminectomy Combined with Core Muscle Training on Postoperative Pa-tients with Lumbar Disc Herniation
Objective To explore the effect of percutaneous endoscopic interlaminectomy combined with core muscle training on postoperative patients with lumbar disc herniation.Methods A total of eighty-six cases of lumbar disc her-niation admitted to Tianshui 407 Hospital from March 2021 to May 2023 were selected as the study objects,and were divided into observation group and control group by treatment method,with forty-three cases in each group.The obser-vation group underwent percutaneous endoscopic interlaminectomy combined with core muscle training,while the con-trol group underwent traditional operation combined with conventional rehabilitation training.Surgery-related indexes,clinical efficacy,lumbar function,quality of life score and complication rate were compared between the two groups.Results The duration of hospitalization in the observation group was shorter than that in the control group,the differ-ence was statistically significant(P<0.05).The excellent and good rate of the observation group(97.67%)was higher than that of the control group(79.07%),the difference was statistically significant(χ2=7.242,P<0.05).Before treat-ment,there were no statistically significant differences in functional impairment index,treatment score evaluated by Japanese orthopaedic association and quality of life score between the two groups(all P>0.05).After treatment,both groups were better than before treatment,and the observation group was better than the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in complications between the two groups(P>0.05).Conclusion The combination of surgery and core muscle training can promote the recovery of lumbar function and reduce the degree of pain,which is worth clinical reference.

Lumbar disc herniationCore muscle trainingPercutaneous endoscopic interlaminectomy nucleus pulposus extraction

张正

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天水四零七医院股份有限公司,甘肃 天水 741000

腰椎间盘突出症 核心肌群训练 经皮内镜椎板间手术入路髓核摘除术

天水市科技支撑计划项目

2023-SHFZKJK-1481

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(12)