摘要
目的比较经皮椎板间入路与经皮椎间孔入路治疗腰椎间盘突出症的效果。方法选取2018年1月1日至2020年12月31日本院收治的60例腰椎间盘突出症患者作为研究对象,根据手术入路不同将其分为参照组和研究组,各30例。参照组开展经皮椎板间入路治疗,研究组开展经皮椎间孔入路治疗。比较两组的康复效果、手术及术后情况、腰椎功能、直腿抬高角度、生活质量。结果研究组的康复总有效率为96.67%,高于参照组的80.00%,差异具有统计学意义(P<0.05)。研究组的手术时间、术后卧床时间、住院时间短于参照组,术中出血量少于参照组,差异具有统计学意义(P<0.05)。术后1个月,两组的Oswestry功能障碍指数(ODI)评分均较术前降低,日本骨科协会评估治疗(JOA)评分均较术前升高,直腿抬高角度均较术前增大,且研究组优于参照组,差异具有统计学意义(P<0.05)。术后1个月,两组的简明健康状况量表(SF-36)各维度评分均较术前升高,且研究组高于参照组,差异具有统计学意义(P<0.05)。结论相较于经皮椎板间入路,经皮椎间孔入路更利于促进腰椎间盘突出症患者术后康复,改善腰椎功能及直腿抬高角度,提高生活质量,值得临床推广和应用。
Objective To compare the effects of percutaneous interlaminar approach and percutaneous foraminar approach in the treatment of lumbar disc herniation.Methods A total of 60 patients with lumbar disc herniation admitted in our hospital from January 1,2018 to December 31,2020 were selected as the research objects,and the patients were divided into reference group and study group according to the different surgical approaches,with 30 cases in each group.The reference group carried out percutaneous interlaminar approach,while the study group carried out percutaneous foraminar approach.The rehabilitation effect,operation and postoperative conditions,lumbar function,straight leg raising angle and quality of life of the two groups were compared.Results The total effective rate of rehabilitation in the study group was96.67%,which was higher than 80.00%in the reference group,and the difference was statistically significant(P<0.05).The operation time,postoperative bed time and hospital stay of the study group were shorter than those of the reference group,the amount of intraoperative bleeding was less than that of the reference group,and the differences were statistically significant(P<0.05).One month after operation,the Oswestry Disability Index(ODI)score of the two groups was lower than that before operation,the Japanese Orthopaedic Association Scores(JOA)score was higher than that before operation,the straight leg raising angle was greater than that before operation,those in the study group were better than the reference group,and the differences were statistically significant(P<0.05).One month after operation,the scores of each dimension of36-Item Short Form Health Survey(SF-36)in the two groups were higher than those before operation,those in the study group were higher than the reference group,and the differences were statistically significant(P<0.05).Conclusion Compared with percutaneous interlaminar approach,percutaneous foraminar approach is more conducive to promoting the postoperative rehabilitation of patients with lumbar disc herniation,and improving the lumbar function,straight leg raising angle and quality of life,which is worthy of clinical promotion and application.
作者
白马恒
王正君
BAI Maheng;WANG Zhengjun(Xingyuan Hospital of Yulin,Yulin 719000;Yulin Emergency Command and Operation Center,Yulin 719000,China)
出处
《临床医学研究与实践》
2022年第33期72-75,共4页
Clinical Research and Practice
关键词
经皮椎板间入路
经皮椎间孔入路
腰椎间盘突出症
腰椎功能
生活质量
percutaneous interlaminar approach
percutaneous foraminal approach
lumbar disc herniation
lumbar function
quality of life
作者简介
白马恒(1976-),男,副主任医师,学士。研究方向:骨科疾病;通讯作者:王正君,E-mail:wzj18409121666@163.com.
