实用医学杂志2025，Vol.41Issue(1)：41-47,7.DOI:10.3969/j.issn.1006-5725.2025.01.007
单一切口椎间孔镜治疗双节段腰椎管狭窄合并腰椎间盘突出症的效果
Clinical observation of single incision intervertebral foramen in the treatment of double-segment lumbar spinal stenosis complicated with lumbar disc herniation
摘要
Abstract
Objective To evaluate the clinical effectiveness of single-incision intervertebral foraminotomy in treating double-segment lumbar spinal stenosis accompanied by lumbar disc herniation.Methods A retrospective analysis was conducted on 40 cases of double-segment lumbar spinal stenosis and lumbar disc herniation treated in our orthopedic(spinal surgery)department from March 2016 to May 2018.Among these cases,11 patients(Group A)were treated with percutaneous discectomy,13 patients(Group B)underwent percutaneous endoscopic discec-tomy,and 16 patients(Group C)received double-incision percutaneous surgery.General clinical data for all patients were recorded.Visual Analog Scale(VAS)scores,Japanese Orthopaedic Association(JOA)scores,and clinical outcomes were assessed at five different time points:preoperatively,immediately postoperatively,one week postoperatively,one month postoperatively,and at the final follow-up.Statistical analysis was performed on the collected data.Results The operation time,the number of fluoroscopies performed on the hands,the length of the skin incision,and patient satisfaction were all statistically significant(P<0.05).An interaction effect was observed between the operation time and the surgical procedure on both the VAS and JOA scores.Both the operation time and the surgical method had significant main effects on the VAS and JOA scores(P<0.05).Significant differences in VAS and JOA scores were found among the three groups immediately post-surgery,one week post-surgery,one month post-operation,and at the end of the study(P<0.05).Immediately after surgery,there were statistically significant differences in VAS and JOA scores among the three groups(P<0.05).One week post-surgery,there were also statistically significant differences in VAS scores among the three groups(P<0.05).Conclusions The single-incision intervertebral foramen technique is an effective approach for simultaneously addressing double-seg-ment lumbar spinal stenosis and lumbar disc herniation through decompression.This method boasts a shorter opera-tive duration,reduced intraoperative radiation exposure,and minimal tissue damage.Patient satisfaction is high,making it a valuable addition to clinical practice.关键词
单一切口/椎间孔镜/腰椎管狭窄/腰椎间盘突出症Key words
single incision/intervertebral foramen/lumbar spinal stenosis/lumbar disc herniation分类
医药卫生引用本文复制引用
王子桓,张翼升,余熙荣,马楚杰,莫泳皓,钟远鸣..单一切口椎间孔镜治疗双节段腰椎管狭窄合并腰椎间盘突出症的效果[J].实用医学杂志,2025,41(1):41-47,7.基金项目
国家自然科学基金项目(编号:81760874) （编号:81760874）
