中国医学前沿杂志（电子版）2018，Vol.10Issue(2)：60-64,5.DOI:10.12037/YXQY.2018.02-13
经皮椎间孔镜与后路椎间盘镜治疗老年单节段腰椎间盘突出症疗效比较
Comparison of the therapeutic effect of percutaneous transforaminal endoscopic discectomy and posterior discectomy on senile single segmental lumbar disc herniation
摘要
Abstract
Objective To compare the therapeutic effect of percutaneous transforaminal endoscopic discectomy on elderly patients with senile single segmental lumbar disc herniation (LDH). Method A total of 273 senile single segment LDH patients from January 2014 to January 2015 in our hospital were selected as study subjects, and they were randomly divided into observation group (n=137) and control group (n=136). Observation group patients were underwent percutaneous transforaminal endoscopic discectomy and control group patients were underwent posterior microendoscopic discectomy. Observed and compared the therapeutic effect of the two methods on elderly single segment LDH patients. Result There was no significant difference in visual analogue scale (VAS) scores between the two groups before operation (P>0.05). VAS scores in both groups after operation were significantly lower than those before operation (P < 0.05), and 15 days after operation, VAS score of observation group was significantly lower than control group (P < 0.05). 3 months after operation, there was no significant difference in the VAS scores between the two groups (P>0.05). The operation time of control group was significantly shorter than that of observation group (P<0.05), the frequency of intraoperative fluoroscopy was significantly less than that of observation group (P<0.05), and the amount of bleeding during the operation was significantly more than that of observation group (P<0.05). The length of the incision, the bed time after operation and hospital stay were significantly longer than those in observation group (P<0.05). The Oswestry dability index (ODI) scores of the two groups were significantly lower than those before operation (P<0.05), but there was no significant difference between the two groups in ODI scores before and after operation (P>0.05). The incidence of postoperative complications in observation group was significantly lower than control group (P<0.05), but the recurrence rate was significantly higher than control group (P<0.05). Conclusion Percutaneous transforaminal endoscopic discectomy and posterior discectomy for the treatment of senile single segmental LDH in elderly patients have good curative effect, percutaneous transforaminal endoscopic discectomy hasless trauma, faster recovery and lower postoperative complication rate, but the rate of recurrence is relatively higher, so we need to strictly grasp the indications for surgery.关键词
经皮椎间孔镜/后路椎间盘镜/老年/单节段/腰间盘突出症Key words
Percutaneous transforaminal endoscopic discectomy/Posterior microendoscopic discectomy/Senile/Single segmental/Lumber disc herniation引用本文复制引用
陈崎,秦练,李名武,陈又年,周赤兵..经皮椎间孔镜与后路椎间盘镜治疗老年单节段腰椎间盘突出症疗效比较[J].中国医学前沿杂志（电子版）,2018,10(2):60-64,5.基金项目
湖北省卫生厅科研基金资助项目(2013Z-Y26) （2013Z-Y26）
