经皮椎间孔镜与椎板开窗髓核摘除术治疗复发性腰椎间盘突出症的疗效比较

发布时间：2018-07-21 17:48

【摘要】：目的比较经皮椎间孔镜和椎板开窗髓核摘除术治疗复发性腰椎间盘突出症的临床疗效。方法回顾性分析自2012-06—2014-02诊治的单节段同侧椎板开窗髓核摘除术后复发性腰椎间盘突出症42例,采用经皮椎间孔镜技术治疗18例(椎间孔镜组),采用椎板开窗髓核摘除术治疗24例(椎板开窗组)。采用VAS评分和ODI指数评价2组手术疗效。结果 2组均获得随访8~12个月,平均10.7个月。2组术后腰痛、腿痛VAS评分及ODI指数较术前明显降低,差异有统计学意义(P0.05)。椎间孔镜组与椎板开窗组术后1 d、1个月、6个月、末次随访时腰痛VAS评分比较差异无统计学意义(P0.05)。椎间孔镜组术后1 d腿痛VAS评分低于椎板开窗组,差异有统计学意义(P0.05);但2组术后1个月、6个月、末次随访时的腿痛VAS评分比较差异无统计学意义(P0.05)。结论经皮椎间孔镜手术是治疗复发性腰椎间盘突出症的有效方法,但手术费用较昂贵,学习曲线长。
[Abstract]:Objective to compare the clinical effect of percutaneous intervertebral lens and laminectomy for recurrent lumbar disc herniation. Methods A retrospective analysis of 42 cases of recurrent lumbar disc herniation after unilateral ipsilateral laminectomy was performed from 2012-06-2014-02. Eighteen cases (intervertebral foramen group) and 24 cases (laminar fenestration group) were treated by percutaneous transforaminal foramen technique. VAS score and ODI index were used to evaluate the curative effect of the two groups. Results both groups were followed up for 8 ~ 12 months (mean 10.7 months). The VAS score and ODI index of leg pain and low back pain in group 2 were significantly lower than those before operation (P0.05). There was no significant difference in VAS score between the intervertebral foramen group and the laminectomy group at 1 day, 1 month, 6 months, and at the last follow-up (P0.05). The VAS score of leg pain in the intervertebral foramscopy group was significantly lower than that in the laminectomy group (P0.05), but there was no significant difference in the leg pain VAS score between the two groups at 1 month, 6 months and the last follow-up (P0.05). Conclusion Percutaneous foramen surgery is an effective method for the treatment of recurrent lumbar disc herniation, but it is expensive and has a long learning curve.
【作者单位】：佛山市中医院骨科;
【基金】：佛山市院市合作项目(2012HY100631) 佛山市高校和医院科研基础平台建设项目(2013AG10009) 佛山市医学攻关项目(2015AB00359)
【分类号】：R687.3

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