经椎间孔与椎板间内镜切除钙化椎间盘突出荟萃分析
A meta-analysis on transforaminal and interlaminal endoscopic discectomies for calcified lumbar disc herniation
廖烨晖 1叶入裴 2唐超 1马飞 1唐强 1何宝强 1钟德君1
作者信息
- 1. 西南医科大学附属医院骨科,四川泸州 646000
- 2. 西南医科大学附属医院病理科,四川泸州 646000
- 折叠
摘要
[目的]采用荟萃分析评价经椎板间内镜椎间盘切除(percutaneous endoscopic interlaminar discectomy,PEID)与经椎间孔内镜椎间盘切除(percutaneous endoscopic transforaminal discectomy,PETD)治疗钙化型椎间盘突出症(calcified lumbar disc herniation,cLDH)的疗效.[方法]检索 1973 年 1 月—2023 年 2 月 PubMed,Web of science,EMSCO,CNKI 及万方、维普数据库,搜集PEID与PETD治疗cLDH疗效文献.采用Revman 5.4软件进行荟萃分析.[结果]共纳入英文文献2篇,中文文献1篇.共纳入病例161例,其中PEID治疗72例,PETD治疗89例.荟萃分析结果显示:与治疗前相比,末次随访时两组下肢VAS 评分[PEID 组(MD=6.58,95％CI 4.65～8.51,P＜0.001);PETD 组(MD=6.40,95％CI 4.72～8.07,P＜0.001)]、ODI 评分[PEID 组(MD=53.39,95％CI 50～56.78,P＜0.001);PETD 组(MD=52.34,95％CI 48.73～55.96,P＜0.001)]均显著改善.两组末次随访时下肢VAS、ODI评分及Modified评分优良率、术后并发症发生率比较的差异均无统计学意义(P＞0.05).[结论]PEID和PETD均可有效治疗钙化型腰椎间盘突出症,PEID和PETD之间疗效和并发症发生率比较差异无统计学意义.
Abstract
[Objective]To evaluate the clinical efficacy of percutaneous endoscopic interlaminar discectomy(PEID)versus percutane-ous endoscopic transforaminal discectomy(PETD)for calcified lumbar disc herniation(cLDH).[Methods]PubMed,Web of science,EMS-CO,CNKI and Wanfang and VIP databases from January 1973 to February 2023 were searched to collect literatures on the comparison of PETD and PEID in the treatment of cLDH.A meta-analysis was performed with Revman 5.4 software.[Results]A total of 2 English litera-tures and 1 Chinese literatures were included in this study,involving a total of 161 patients,72 treated with PEID and 89 with PETD.As re-sults of the meta-analysis,the leg pain VAS scores[PEID group,(MD=6.58,95％ CI 4.65～8.51,P＜0.001);PETD group,(MD=6.40,95％ CI 4.72～8.07,P＜0.001)],and ODI score[PEID group,(MD=53.39,95％ CI 50～56.78,P＜0.001);PETD group(MD=52.34,95％ CI 48.73～55.96,P＜0.001)]were significantly improved at the latest follow-up compared with those preoperatively.However,there were no significant differences in VAS,ODI score,modified score and postoperative complication rate between the two groups at the last follow-up(P＞0.05).[Conclusion]Both PEID and PETD can effectively treat calcified lumbar disc herniation,and there is no significant difference in efficacy and complication rate between PEID and PETD.
关键词
钙化型腰椎间盘突出症/经椎板间内镜椎间盘切除/经椎间孔内镜椎间盘切除/荟萃分析Key words
calcified lumbar disc herniation/percutaneous endoscopic interlaminar discectomy(PEID)/percutaneous endoscopic transforaminal discectomy(PETD)/meta-analysis引用本文复制引用
基金项目
西南医科大学附属医院博士科研启动基金资助项目(22155)
四川省医学(青年创新)科研课题项目(Q22008)
出版年
2024
NETL
NSTL
万方数据