中国医药科学2024,Vol.14Issue(2) :162-165.DOI:10.20116/j.issn2095-0616.2024.02.40

经皮椎间孔镜微创术对腰椎间盘突出症患者腰部功能的影响

Effect of percutaneous foraminal microsurgery on lumbar function in patients with lumbar disc herniation

熊光
中国医药科学2024,Vol.14Issue(2) :162-165.DOI:10.20116/j.issn2095-0616.2024.02.40

经皮椎间孔镜微创术对腰椎间盘突出症患者腰部功能的影响

Effect of percutaneous foraminal microsurgery on lumbar function in patients with lumbar disc herniation

熊光1
扫码查看

作者信息

  • 1. 湖北省麻城市人民医院骨科,湖北麻城 438300
  • 折叠

摘要

目的 探讨经皮椎间孔镜微创术对腰椎间盘突出症患者腰部功能的影响.方法 选取 2018 年 1 月至2023 年 1 月麻城市人民医院骨科收治的 100 例腰椎间盘突出症患者,采用随机数表法分为对照组和观察组,每组各 50 例.对照组采用传统的椎板开窗髓核摘除术治疗,观察组采用经皮椎间孔镜微创术治疗.比较两组患者临床疗效、手术指标、腰部功能及腰部活动度.结果 观察组总有效率、下肢运动功能评定量表(FMA)评分高于对照组,腰部功能障碍指数(ODI)评分低于对照组,差异有统计学意义(P<0.05).观察组的手术时间、下床活动时间、住院时间短于对照组,且手术出血量少于对照组,差异有统计学意义(P<0.05).治疗后观察组腰椎前屈、后伸、左侧屈及右侧屈度数均大于对照组,差异有统计学意义(P<0.05).结论 腰椎间盘突出症应用经皮椎间孔镜微创术的效果较好,且可有效地改善患者的腰部功能,加大腰部活动度,加快康复速度.

Abstract

Objective To explore the effect of percutaneous foraminal endoscopic minimally invasive surgery on lumbar function in patients with lumbar disc herniation.Methods A total of 100 patients with lumbar disc herniation admitted to the Orthopedics Department of People's Hospital of Macheng City from January 2018 to January 2023 were selected.They were randomly divided into a control group and an observation group,with 50 cases in each group,using a random number table method.The control group was treated with traditional laminoplasty for nucleus pulposus removal,while the observation group was treated with percutaneous foramen endoscopic minimally invasive surgery.Compare the clinical efficacy,surgical indicators,lumbar function,and lumbar range of motion between two groups of patients.Results The total effective rate and Fugl-Meyer assessment(FMA)score of the observation group were higher than those of the control group,and the Oswestry disability index(ODI)score was lower than that of the control group,with statistically significant differences(P<0.05).The observation group had shorter surgical time,time to get out of bed,and time of hospital stay compared to the control group,and the surgical bleeding was less than that of the control group,with statistically significant differences(P<0.05).After treatment,the observation group had significantly higher degrees of lumbar flexion,extension,left flexion,and right flexion than the control group,with statistically significant differences(P<0.05).Conclusion The application of percutaneous foraminal endoscopic minimally invasive surgery for lumbar disc herniation has a good effect,and can effectively improve the patient's lumbar function,increase lumbar mobility,and accelerate recovery speed.

关键词

腰椎间盘突出症/经皮椎间孔镜微创术/椎板开窗髓核摘除术/腰部功能/腰部活动度

Key words

Lumbar disc herniation/Minimally invasive percutaneous transforaminal endoscopic discectomy/Fenestration discectomy/Lumbar function/Lumbar activity

引用本文复制引用

出版年

2024
中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
参考文献量16
段落导航相关论文