经椎间孔经皮内镜治疗复发性腰椎间盘突出症

发布时间：2018-06-16 13:59

本文选题：复发性腰椎间盘突出症 + 椎间孔镜　；参考：《中国微创外科杂志》2016年09期

【摘要】：目的探讨经椎间孔经皮内镜治疗复发性腰椎间盘突出症的早期疗效。方法 2011年10月~2014年6月我科对32例复发性腰椎间盘突出症采用经椎间孔经皮内镜腰椎间盘切除术,采用腰腿痛VAS评分、Oswestry功能障碍指数(Oswestry disability index,ODI)和改良Mac Nab疗效标准评定评价早期疗效。结果 32例术后随访12~26个月,术前腰痛VAS(7.2±2.1)分,术后3个月(2.9±1.8)分,差异有统计学意义(q=14.325,P0.05),术后1年(2.3±1.0)分,与术后3个月比较差异无统计学意义(q=1.999,P0.05);改善率(75.8±12.4)%。术前腿痛VAS评分中位数9.1分(4.1~9.9分),术后3个月中位数2.4分(1.5~4.0分),差异有统计学意义(Z=-4.937,P=0.000),术后1年中位数2.1分(1.2~3.0分),与术后3个月比较差异无统计学意义(Z=-1.609,P=0.108);改善率(72.1±10.2)%。ODI术前55.4±10.2,术后3个月22.6±6.2,术后1年8.5±5.3,差异有统计学意义(F=325.90,P=0.000);改善率(86.8±10.2)%。改良Mac Nab疗效评定标准:优14例,良12例,可4例,差2例,优良率81.2%(26/32)。结论经椎间孔经皮内镜治疗复发性腰椎间盘突出症疗效满意。
[Abstract]:Objective to investigate the early effect of percutaneous endoscopy on recurrent lumbar disc herniation. Methods from October 2011 to June 2014, 32 cases of recurrent lumbar disc herniation were treated by percutaneous endoscopic lumbar discectomy. Oswestry disability index (Oswestry disability index ODI) and modified MacNab criteria were used to evaluate the early curative effect. Results 32 cases were followed up for 12 ~ 26 months, VAS7.2 卤2.1 before operation and 2.9 卤1.8 at 3 months after operation. The difference was statistically significant (P 0.05), and the difference was 2.3 卤1.0 in 1 year after operation. There was no significant difference compared with 3 months after operation. The improvement rate was 75.8 卤12.4. The median VAS score of leg pain was 9.1 minutes before operation, 4.1 卤9.9 minutes before operation, 2.4 minutes and 1.54.0 minutes at 3 months after operation. The difference was statistically significant (P = 0.000). The median score of 2.1 minutes after operation was 1.20.0.0.0.0.The difference was not statistically significant compared with that of 3 months after operation, and the improvement rate was 72.1 卤10.2OD.ODI. The difference was statistically significant (55.4 卤10.2 before operation, 22.6 卤6.2 at 3 months after operation and 8.5 卤5.3 at 1 year after operation), and the improvement rate was 86.8 卤10.2. The modified Mac-Nab evaluation criteria were excellent in 14 cases, good in 12 cases, fair in 4 cases and poor in 2 cases. The excellent and good rate was 81.2% / 32%. Conclusion the effect of percutaneous endoscopy on recurrent lumbar disc herniation is satisfactory.
【作者单位】：广西中医药大学附属瑞康医院脊柱微创外科;
【基金】：广西教育厅中青年教师基础能力提升项目资助(项目编号:KY2016YX148)
【分类号】：R687.3

【相似文献】