中国现代医学杂志2017，Vol.27Issue(27)：77-81,5.DOI:10.3969/j.issn.1005-8982.2017.27.014
经椎板间完全内镜下与椎间盘镜下L5/S1椎间盘切除术的中期临床疗效比较
Comparison of mid-term clinical efficacy between percutaneous endoscopic interlaminar discectomy and micro-endoscopic discectomy in L5/S1 intervertebral disc resection
摘要
Abstract
Objective To compare the mid-term clinical efficacy between percutaneous endoscopic interlaminar discectomy (PEID) and micro-endoscopic discectomy (MED) in L5/S1 intervertebral disc resection. Methods A total of 90 patients who underwent L5/S1 intervertebral resection in our hospital from April 2014 to July 2016 were included and randomly divided into control group (45 patients received MED) and observation group (45 patients received PEID). Surgical related parameters were compared. Results Operation time, incision size and average hospitalization time in the observation group were significantly lower than those in the control group ( <0.05). The waist and leg pain VAS scores were compared between the control group and the observation group before operation and 3 d, 30 d, half a year and one year after surgery. There was a significant difference at each time point in the waist and leg pain VAS scores ( =11.587, =0.000; =15.664, = 0.000, respectively); there was a significant difference between the control group and the observation group in the waist and leg pain VAS scores ( = 15.368, = 0.000; = 9.865, =0.000, respectively); Q test showed that the waist and leg pain VAS scores of the control group were significantly higher than those of the observation group. There was a significant difference in the changing trend of the waist and leg pain VAS scores between the control group and observation group ( =11.615, = 0.000; =18.334, = 0.000, respectively). There was significant difference in clinical efficacy one year after surgery between the control group and the observation group ( =3.691, =0.000). The control group had a better clinical efficacy than the observation group. There were 5 cases in the control group and 4 cases in the observation group that experienced adverse events but the difference was not statistically significant (X2 =0.123, =0.725). Conclusions The mid-term clinical efficacy of PEID is better than that of MED in the L5 /S1 intervertebral disc resection, but these two surgical methods have a similar variation tendency in the long-term outcome. We suggest a comprehensive consideration of patients' condition and imaging data before surgery to ensure the proper surgical methods.关键词
椎间盘/脊柱外科/内镜Key words
intervertebral disc/spine surgery/endoscopy分类
医药卫生引用本文复制引用
周兆文..经椎板间完全内镜下与椎间盘镜下L5/S1椎间盘切除术的中期临床疗效比较[J].中国现代医学杂志,2017,27(27):77-81,5.基金项目
云南省教育厅科学研究项目(No:2013Z107) （No:2013Z107）
