摘要
目的:探讨腰椎间盘突出症患者采用经皮椎间孔镜下髓核摘除术(PTED)治疗的临床效果。方法:于2013年7月~2015年11月某院收治的腰椎间盘突出患者中选取76例,采用数字表法随机分组,观察组38例行PTED治疗,对照组38例行小切口椎板开窗髓核切除术治疗,对比两组手术指征与术后疗效。结果:手术时间两组无显著差异(P>0.05),切口长度、术中出血、下地活动时间等手术指标,观察组均显著优于对照组(P<0.05);术后2月两组VAS评分、ODI评分均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05);观察组总有效率显著高于对照组(P<0.05)。结论:腰椎间盘突出症患者采用PTED治疗,切口小、出血少,临床疗效显著。
Objective：To evaluate the clinical effect of percutaneous transforaminal endoscopic discectomy in the treatment of patients with lumbar disc herniation.Methods：76cases of patients with lumbar disc herniation treated in a hospital from 2013 July to November 2015 were selected and divided into observation group（38cases）and control group（38cases）by random number table method.The observation group received PTED treatment,and the control group received small incision open laminectomy window discectomy treatment,then compared the indications of surgery and postoperative effect of two groups.Results：The operation time of two groups had no significant difference（P〈0.05）,the incision length,blood loss,and ambulation time of observation group were significantly better than those of control group（P〈0.05）;2months after operation,the VAS score and ODI score of both two groups were lower than those before the treatment（P〈0.05）,and the VAS score and ODI score of observation group were lower than those of control group（P〈0.05）;The total effective rate of observation group was significantly higher than that of control group（P〈0.05）.Conclusion：Percutaneous transforaminal endoscopic discectomy in the treatment of patients with lumbar disc herniation has the advantages of small incision,less bleeding,and significant clinical effect.
作者
范儒军
Fan Rujun(J ingmen Rehabilitation Hospital, Hubei Province, J ingmen 44800)
出处
《数理医药学杂志》
2017年第2期189-190,共2页
Journal of Mathematical Medicine
