经皮椎间孔镜不同进针技术治疗腰椎间盘突出症患者的效果对比
Comparison on the Effects of Percutaneous Transforaminal Endoscopy with Different Needle Insertion Techniques in the Treatment of Patients with Lumbar Disc Herniation
孔维邦 1范世昌 1王剑飞 1张立东 1温应辉1
作者信息
- 1. 河南宏力医院骨科,河南新乡 453400
- 折叠
摘要
目的 对比经皮椎间孔镜不同进针技术治疗腰椎间盘突出症患者的临床效果.方法 选取 2019 年 1 月至 2022 年 1月在我院行经皮椎间孔镜手术治疗的 90 例腰椎间盘突出症患者,随机分为两组各 45 例.对照组实施常规后入路进针,观察组实施后入路 45°进针.比较两组的临床疗效、疼痛程度以及下肢功能.结果 两组的治疗优良率比较,差异无统计学意义(P＞0.05).观察组术后 6 个月、术后 1 年的VAS评分均显著低于对照组(P＜0.05).观察组术后 1 年的ODI评分显著低于对照组(P＜0.05).结论 经皮椎间孔镜手术经由常规后入路进针和后入路 45°进针治疗腰椎间盘突出症的近期疗效相当,但后入路 45°进针能够更明显地减轻患者术后远期疼痛,改善患者下肢功能.
Abstract
Objective To compare the clinical effects of percutaneous transforaminal endoscopy with different needle insertion techniques in the treatment of patients with lumbar disc herniation.Methods A total of 90 patients with lumbar disc herniation who underwent percutaneous transforaminal endoscopic surgery in our hospital from January 2019 to January 2022 were selected and randomly divided into two groups,with 45 cases in each group.The control group received conventional posterior approach for needle insertion,and the observation group received 45°posterior approach for needle insertion.The clinical efficacy,pain degree and lower limb function were compared between the two groups.Results No significant difference was found in the excellent and good rate of treatment between the two groups(P>0.05).The VAS scores at 6 months and 1 year after surgery of the observation group were significantly lower than those of the control group(P<0.05).The ODI score at 1 year after surgery of the observation group was significantly lower than that of the control group(P<0.05).Conclusions The short-term curative effects of percutaneous transforaminal endoscopic surgery through conventional posterior approach and 45° posterior approach for needle insertion in the treatment of lumbar disc herniation are comparable,but 45° posterior approach for needle insertion can significantly reduce the long-term postoperative pain and improve the lower limb function of patients.
关键词
经皮椎间孔镜手术/腰椎间盘突出症/疼痛程度/下肢功能Key words
Percutaneous transforaminal endoscopic surgery/Lumbar disc herniation/Pain degree/Lower limb function引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据