椎间盘镜与椎间孔镜治疗腰椎间盘突出疗效比较的Meta分析

发布时间：2018-08-30 07:39

【摘要】：目的比较椎间盘镜和椎间孔镜治疗腰椎间盘突出症的疗效。方法通过检索Pub Med、Web of Science、Embase、万方和中国知网5个数据库,由两位作者独立筛选出相关文章。运用Cochrane风险因素来评估随机对照试验(RCT)文章质量,运用修改的Newcastle-Ottawa量表进行回顾性文献的质量评估。文章中的数据应用Review Manager 5.3软件进行提取。结果最后有19篇相关研究被纳入此次Meta分析。椎间孔镜术后短期视觉模拟评分法(VAS)改善明显优于椎间盘镜组(P=0.010),而手术后远期VAS评分变化(P=0.120)、Oswestry功能障碍指数问卷表(ODI)评分变化(P=0.260)、并发症(P=0.100)和残留或复发率(P=0.100)比较,两组差异均无统计学意义。椎间孔镜组出血量更少(P=0.000),切口长度更短(P=0.000),住院天数更少(P=0.000),但是椎间孔镜的手术时间较椎间盘镜组长(P=0.001)。结论在椎间盘突出的手术治疗方面,经皮椎间孔镜技术无疑是一种更加微创且安全的手术方法。
[Abstract]:Objective to compare the effect of intervertebral disc endoscopy and intervertebral foramen endoscopy on lumbar disc herniation. Methods by searching 5 databases of Pub Med,Web of Science,Embase, Wanfang and China Zhiwang, the relevant articles were screened out by the two authors independently. Cochrane risk factors were used to evaluate the quality of (RCT) articles in randomized controlled trials and the modified Newcastle-Ottawa scale was used to evaluate the quality of retrospective literature. The data in this paper are extracted by Review Manager 5.3 software. Results 19 related studies were included in the Meta analysis. The improvement of short-term visual analogue score (VAS) after intervertebral foramen endoscopy was significantly better than that in the intervertebral disc lens group (P0.010), while the long-term VAS score changes (P0. 120) were compared with the (ODI) score (P0. 260), the complications (P0. 100) and the residual or recurrent rate (P0. 100). There was no significant difference between the two groups. In the intervertebral foramina group, the amount of bleeding was less (P0. 000), the length of incision was shorter (P0. 000), the length of hospitalization was less (P0. 000), but the operative time of intervertebral foramen was longer than that of the group with intervertebral foramen (P0. 001). Conclusion in the surgical treatment of intervertebral disc herniation, percutaneous foramen technique is undoubtedly a more minimally invasive and safe surgical method.
【作者单位】：广东省佛山市高明区人民医院骨二科;中山大学附属第三医院脊柱外科;
【分类号】：R687.3

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