摘要
目的分析经皮脊柱内镜"隔离区"技术在椎间盘突出患者中的应用效果.方法选取2019年1月—2022年1月本院收治的90例椎间盘突出患者为研究对象,按随机数字表法分为两组,每组45例.对照组接受小切口椎板间开窗髓核摘除术,观察组接受经皮脊柱内镜"隔离区"技术治疗,均观察至术后3个月.对比两组患者的围术期指标、疼痛程度、腰椎功能、生活质量及并发症发生情况.结果观察组的术中出血量为(27.21±3.05)mL,少于对照组的(38.69±3.77)mL,手术时间为(103.75±9.83)min,长于对照组的(86.95±7.21)min,住院时间为(3.21±0.57)d,短于对照组的(5.89±0.63)d,组间差异有统计学意义(P<0.05).术后3个月,观察组的疼痛视觉模拟评分、Oswestry功能障碍指数评分分别为(1.28±0.26)分、(16.89±1.73)分,均低于对照组的(1.75±0.31)分、(24.20±2.05)分,组间差异有统计学意义(P<0.05).术后3个月,观察组的生活质量综合评定问卷内心理功能、躯体功能、社会功能、物质生活状态评分分别为(80.52±3.98)分、(81.49±4.01)分、(79.88±3.56)分、(80.54±3.72)分,均高于对照组的(71.49±3.56)分、(73.63±3.58)分、(70.57±3.01)分、(71.49±3.23)分,组间差异有统计学意义(P<0.05).观察组的并发症发生率为4.44%,低于对照组的17.78%,差异有统计学意义(P<0.05).结论采用经皮脊柱内镜"隔离区"技术治疗椎间盘突出的效果显著,能够缩减出血量,缓解患者疼痛,加快其腰椎功能改善,提升生活质量,且并发症较少,临床可大力推行.
Objective To analyze the effect of percutaneous spinal endoscopic"isolation zone"technique in patients with intervertebral disc herniation.Methods 90 patients with intervertebral disc herniation admitted to our hospital from January 2019 to January 2022 were selected as the research objects and were divided into two groups according to random number table method,with 45 cases in each group.The control group underwent microincision interlaminar fenestration of nucleus pulposus,and the observation group underwent percutaneous spinal endoscopic"isolation zone"technique.Both groups were observed until 3 months after surgery.The perioperative indexes,pain degree,lumbar function,quality of life and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(27.21±3.05)mL,less than(38.69±3.77)mL in the control group,the operative time was(103.75±9.83)min,longer than(86.95±7.21)min in the control group,the length of hospital stay was(3.21±0.57)d,shorter than(5.89±0.63)d of control group,and the differences between the groups were statistically significant(P<0.05).3 moths after surgery,the pain visual analog scale score and Oswestry disability index score of the observation group were(1.28±0.26)points and(16.89±1.73)points,respectively,lower than(1.75±0.31)points and(24.20±2.05)points of the control group,and the differences between the groups were statistically significant(P<0.05).3 months after surgery,the scores of psychological function,physical function,social function and material life status in the generic quality of life inventory-74 of the observation group were(80.52±3.98)points,(81.49±4.01)points,(79.88±3.56)points,(80.54±3.72)points,respectively,which were higher than(71.49±3.56)points,(73.63±3.58)points,(70.57±3.01)points and(71.49±3.23)points of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.44%,lower than 17.78%in the control group,and the difference was statistically significant(P<0.05).Conclusion The"isolation zone"technique of percutaneous spinal endoscopy for the treatment of disc herniation has significant effects,which can reduce the amount of blood loss,relieve patients'pain,accelerate the improvement of lumbar function,improve the quality of life,and fewer complications,so it can be vigorously implemented in clinic.
作者
赵文明
李三成
谢文锦
李特林
邢宏
ZHAO Wenming;LI Sancheng;XIE Wenjin;LI Telin;XING Hong(Department of Spine Surgery,Zhangye Second People's Hospital,Zhangye Gansu,734100,China)
出处
《反射疗法与康复医学》
2023年第7期164-167,共4页
Reflexology And Rehabilitation Medicine
关键词
椎间盘突出
经皮脊柱内镜"隔离区"技术
疼痛程度
并发症
腰椎功能
Disc herniation
Percutaneous endoscopic"isolation zone"technique
Degree of pain
Complication
Lumbar function
作者简介
赵文明(1973-),男,甘肃张掖人,本科,副主任医师,研究方向:脊柱外科临床。
