中国内镜杂志2017，Vol.23Issue(7)：1-5,5.DOI:10.3969/j.issn.1007-1989.2017.07.001
经皮椎间孔镜与Quadrant微创通道下治疗腰椎间盘突出症的临床研究
Clinical outcomes of percutaneous transforaminal endoscopic discectomy and Quadrant minimally invasive system in treatment of lumbar disc herniation
摘要
Abstract
Objective To compare the clinical efficacy of percutaneous transforaminal endoscopic discectomy (PTED) and Quadrant minimally invasive system in treatment of lumbar disc herniation (LDH). Methods 59 single-level LDH patients were randomly divided into PTED group (n = 31) and Quadrant group (n = 28). Then compare the operative time, incision length, blood loss, length of hospital stay, and the return-to-work time between the two groups. In addition, visual analogue scale (VAS), Japanese Orthopedic Association (JOA), Oswestry disability index (ODI), and modified MacNab criteria were used for surgical efficacy evaluation. Results In PTED group, compared with Quadrant group, we observed, shorter incision length, less blood loss, shorter hospital stay, and shorter time of returning to work (P < 0.05), postoperative VAS, JOA and ODI scores had been improved in both groups (P < 0.05). The PTED group had lower VAS scores of lumbago at 3 days and 1, 3 months postoperatively (P < 0.05). As for postoperative JOA and ODI score, no notable difference was found between the two groups at each corresponding follow-up time point (P > 0.05). According to the improved MacNab criteria, there was no significant difference in excellent or good rate between the two groups (P > 0.05). Conclusion The clinical results of PTED and Quadrant minimally invasive system in treatment of lumbar disc herniation were satisfactory, and PTED were less traumatic method with rapid recovery.关键词
腰椎间盘突出症/Quadrant/经皮椎间孔镜/微创治疗Key words
lumbar disc herniation/Quadrant/percutaneous transforaminal endoscopic discectomy/minimally invasive treatment分类
医药卫生引用本文复制引用
王湘江,王贵清,刘春磊,黎昭华,汤勇智,杨立群..经皮椎间孔镜与Quadrant微创通道下治疗腰椎间盘突出症的临床研究[J].中国内镜杂志,2017,23(7):1-5,5.基金项目
广东省医学科学技术研究基金项目(No :A2015222) （No :A2015222）
