摘要
目的通过应用经皮椎间孔镜BEIS技术治疗腰椎间盘突出症的临床疗效,评估其疗效。方法对2016年1月—2018年1月应用经皮椎间孔镜BEIS技术治疗并获得随访的50例腰椎间盘突出症病例,采用视觉模拟评分(VAS)、功能障碍指数(ODI)评估疗效。结果所有患者随访时间为3个月,术前VAS评分(7.82±0.69)分,术后1周(3.62±0.80)分,术后1个月(2.46±1.01)分,术后3个月(1.54±0.90)分。术后与术前VAS评分相比,差异均有统计学意义(P<0.01)。术前ODI(45.88±1.67)分,术后1周(17.3±2.48)分,术后1个月(14.74±3.02)分,术后3个月(13.32±2.62)分。术后与术前ODI评分相比,差异均有统计学意义(P<0.01)。结论经皮椎间孔镜BEIS技术对于椎间盘突出症手术安全可靠,术后疼痛轻、康复快,可获得良好临床疗效。
Objective To evaluate the clinical efficacy of broad easy immediate surgery(BEIS)technique under percutaneous spinal endoscope in the treatment of lumbar disc herniation.Methods From January 2016 to January 2018,the clinical data of 50 patients with lumbar disc herniation were analyzed retrospectively.The results were evaluated by lower limb visual analogue scale(VAS) and oswestry disability index(ODI).Results All patients were followed up for 3 months.The preoperative VAS score was(7.82 ± 0.69),and the scores were(3.62 ± 0.80),(2.46 ± 1.01),and(1.54 ± 0.90),respectively,at one week,one month and 3 months after operation.Compared with preoperative VAS score,the differences were statistically significant(P<0.01).Preoperative ODI was(45.88±1.67),and it was(17.3±2.48),(14.74±3.02),and(13.32±2.62),respectively,at one week,one month and 3 months after operation.Compared with preoperative ODI score,the differences were statistically significant(P < 0.01).Conclusions BEIS is a safe and effective technique for the treatment of lumbar disc herniation,with advantages of less injury,rapid recovery.It is worth popularizing in clinic.
出处
《齐齐哈尔医学院学报》
2018年第15期1786-1788,共3页
Journal of Qiqihar Medical University
关键词
椎间孔镜BEIS技术
腰椎间盘突出症
临床疗效
Broad easy immediate surgery
Lumbar intervertebral disc herniation
Clinical outcome