椎间孔镜（BEIS技术）治疗极外侧型腰椎间盘突出症的短期临床疗效观察

发布时间：2018-03-25 01:14

本文选题：极外侧型腰椎间盘突出症　切入点：椎间孔镜　出处：《山东中医药大学》2017年硕士论文

【摘要】：目的:回顾性研究经皮椎间孔镜(BEIS技术)治疗极外侧型椎间盘突出症30例患者的短期临床疗效。为治疗极外侧型椎间盘突出症提供新的思路。方法:统计山东省中医院从2014年12月至2016年09月收治的经椎间孔镜治疗的单阶段的极外侧椎间盘突出症患者30例。采用疼痛视觉模拟评分法(Visual Analogue Scale,VAS)、Oswestry功能障碍指数(Oswestry Disability Index,ODI)评估治疗前及治疗后即刻、3个月及末次随访的治疗效果。使用腰椎MacNab法评定末次随访时的治疗效果,所有数据用均数±标准差(?X±S)表示。应用SPSS17.0统计软件进行数据处理,将治疗前与治疗即刻、3个月及末次随访的VAS评分、ODI指数进行t检验,如P0.05则无明显差异,无统计学意义,P0.05则有差异,具有统计学意义,P0.01则差异显著,具有统计学意义。结果:(1)末次随访时使用腰椎MacNab评定标准,优良率90%,临床效果满意。(2)患者治疗后即刻、3个月及末次随访的VAS评分、ODI指数,较术前明显降低(VAS评分在0-2范围、ODI指数在14-20范围),术后不同时间点较术前相比,均有统计学差异(p0.05)。结论:(1)经皮椎间孔镜下髓核摘除术(BEIS技术)治疗单阶段的极外侧型腰椎间盘突出症短期疗效可靠;(2)椎间孔镜(BEIS)技术创伤小、并发症少、术后卧床时间短,可作为极外侧型腰椎间盘突出症的治疗阶梯中的良好方法;(3)椎间孔镜治疗极外侧型腰椎间盘突出症的中远期疗效尚需更多数据支持。
[Abstract]:Objective: to study the short-term clinical effect of percutaneous foramen endoscopy (BEIS) in the treatment of 30 patients with extreme lateral disc herniation. Methods: to provide a new idea for the treatment of extreme lateral disc herniation in Shandong Province. From December 2014 to September 2016, 30 patients with monolateral disc herniation treated by intervertebral foramen endoscopy were treated in Chinese medicine hospital. Visual Analogue scale scale was used to evaluate Oswestry Disability index (Oswestry index) before treatment. MacNab method was used to evaluate the therapeutic effect of the last follow-up. All data with mean 卤standard deviation? X 卤S). Using SPSS17.0 statistical software to process the data, t test the VAS score and ODI index before treatment and immediately after treatment, 3 months and the last follow-up, if P0.05, there was no significant difference, there was no significant difference between the two groups, and there was no significant difference between the two groups. Results: at the last follow-up, the MacNab evaluation standard of lumbar vertebrae was used, the excellent and good rate was 90, the clinical effect was satisfactory, and the VAS scores of the patients were evaluated immediately after treatment, 3 months and at the last follow-up. VAS scores were significantly lower in 0-2 range and ODI index in 14-20 range than before operation, and compared with those before operation at different time points after operation. Conclusion Percutaneous transforaminal discectomy (BEIS) is effective and reliable in the treatment of single stage ultralateral lumbar disc herniation. (Beis) has less trauma, less complications and shorter bed-rest time after operation. It can be used as a good method in the treatment of extreme lateral lumbar disc herniation. (3) the medium and long term effect of intervertebral foramen in the treatment of extreme lateral lumbar disc herniation needs more data support.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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