局解手术学杂志2018,Vol.27Issue(10):715-719,5.DOI:10.11659/jjssx.04E018038
经皮椎间孔镜及椎间孔腰椎间融合术治疗极外侧型腰椎间盘突出症
Efficacy of percutaneous intervertebral foramen and TLIF in treatment of extreme lateral lumbar disc herniation
石斌 1李高陵 1徐灵军 2刘纪涛3
作者信息
- 1. 长治医学院附属和平医院骨科,山西 长治046000
- 2. 长治医学院附属和平医院疼痛科,山西 长治046000
- 3. 汉中市人民医院疼痛科,陕西 汉中723000
- 折叠
摘要
Abstract
Objective To evaluate the clinical effect of percutaneous intervertebral foramen and TLIF in the treatment of extreme lateral lumbar disc herniation and the SF-36 score.Methods A total of 90 patients with extreme lateral lumbar disc herniation admitted in our hos-pital from March 2015 to March 2017 were selected as the subjects,who were divided into the control group ( traditional therapy) and the study group(percutaneous intervertebral foramen treatment), according to the different surgical methods,45 cases in each group.The treat-ment,pain,SF-36 score and other indicators of two groups were observed.Results The rate of excellence and good was 97.78% in the study group and 86.67% in the control group,the difference was significant(P<0.05).The blood loss was (46.83 ± 3.64)mL in the study group and (79.32 ±5.47)mL in the control group,the difference was significant(P<0.05).There was no significant difference in the scores of SF-36 and JOA between the two groups(P>0.05).After treatment,the two groups were significantly improved(P<0.05),the improvement rate of the study group was more obvious (P<0.05).After treatment,TNF-α,IL-6 and CRP levels were significantly better than those in the control group (P<0.05).Conclusion Percutaneous intervertebral foramen treatment of extreme lateral lumbar disc herniation can reduce the intraoperative blood loss and improve the quality of life关键词
经皮椎间孔镜/极外侧型腰椎间盘突出症/椎间孔腰椎间融合术/JOA评分Key words
percutaneous intervertebral foramen/extremity lateral lumbar disc herniation/transforaminal lumbar interbody fusion/JOA score分类
医药卫生引用本文复制引用
石斌,李高陵,徐灵军,刘纪涛..经皮椎间孔镜及椎间孔腰椎间融合术治疗极外侧型腰椎间盘突出症[J].局解手术学杂志,2018,27(10):715-719,5.