川北医学院学报2024，Vol.39Issue(8)：1056-1058,1063,4.DOI:10.3969/j.issn.1005-3697.2024.08.012
经皮椎间孔镜微创手术治疗腰间盘突出症合并腰椎管狭窄的疗效
Efficacy of percutaneous transforaminal endoscopic minimally invasive surgery in the treatment of lumbar disc herniation combined with lumbar spinal stenosis
摘要
Abstract
Objective:To investigate the efficacy of percutaneous foraminal minimally invasive surgery(PTED)in the treatment of lumbar disc herniation(LDH)combined with lumbar spinal stenosis(LSS).Methods:A total of 106 patients with LDH combined with LSS were included as the study objects and divided into minimally invasive group and traditional group according to different surgi-cal methods,53 cases in each group.Patients in the traditional group received traditional transforaminal interbody fusion treatment,and patients in the minimally invasive group received PTED treatment.The surgical indicators(surgical time,intraoperative blood loss,inci-sion length,and length of hospital stay),pain status[visual analog scale(VAS)score],postoperative lumbar function recovery[Japa-nese orthopedic association assessment and treatment(JOA)score,oswestry dysfunction index(ODI)score]and complication rate of the two groups were compared.Results:The operative time,intraoperative blood loss,incision length and hospital stay in minimally in-vasive group were lower than those in traditional group(P＜0.05).Pain scores at 1,4,24 and 48 h in minimally invasive group were lower than those in traditional group(P＜0.05).JOA score after surgery was higher in both groups than before surgery,and ODI score was lower than before surgery(P＜0.05).Inter-group comparison showed that JOA score after surgery in minimally invasive group was higher than that in traditional group,and ODI score was lower than that in traditional group(P＜0.05).The incidence of postoperative complications in minimally invasive group was lower than that in traditional group(P＜0.05).Conclusion:PTED can be effectively applied in the treatment of LDH patients with LSS,which can effectively reduce the treatment time of patients,improve pain symptoms,reduce the incidence of postoperative complications,and promote the recovery of lumbar function of patients,with accurate efficacy and good safety.关键词
微创手术/腰间盘突出症/腰椎管狭窄Key words
Minimally invasive surgery/Lumbar disc herniation/Lumbar spinal stenosis分类
医药卫生引用本文复制引用
王宝,庹银凤,王特哈斯,王树人..经皮椎间孔镜微创手术治疗腰间盘突出症合并腰椎管狭窄的疗效[J].川北医学院学报,2024,39(8):1056-1058,1063,4.基金项目
黑龙江省高等学校青年创新人才培养计划(UNPYSCT-2020234) （UNPYSCT-2020234）
