摘要
目的探讨腰椎间盘突出症患者行可扩张管道系统微创手术治疗的效果及植骨融合情况。方法将2015年10月至2018年10月我院收治的40例腰椎间盘突出症患者根据随机数字表法分为普通组和微创组,各20例。普通组行传统腰椎后路开窗间盘摘除术治疗,微创组行可扩张管道系统微创手术治疗。比较两组术前、术后1个月NRS评分、ODI评分、临床疗效及植骨融合率。结果术前,两组患者NRS评分及ODI评分比较,差异无统计学意义(P>0.05)。术后1个月,两组患者NRS评分均低于术前,且微创组低于普通组,差异有统计学意义(P<0.05)。术后1个月,两组患者ODI评分均低于术前,且微创组低于普通组,差异有统计学意义(P<0.05)。术后1个月,微创组的治疗总有效率明显高于普通组,差异有统计学意义(P<0.05)。术后1个月,微创组的植骨融合率明显高于普通组,差异有统计学意义(P<0.05)。结论与传统腰椎后路开窗间盘摘除术比较,可扩张管道系统微创手术治疗腰椎间盘突出症患者的效果更佳,其能够明显控制患者疼痛症状,促进腰椎功能恢复,改善植骨融合情况。
Objective To investigate the effect of minimally invasive surgery with expandable duct system on patients with lumbar disc herniation and the situation of bone graft fusion. Methods From October 2015 to October 2018, 40 patients with lumbar disc herniation admitted in our hospital were divided into general group and minimally invasive group according to the random number table method, with 20 cases in each group. The general group was treated with traditional posterior lumbar interwindow discectomy, and the minimally invasive group was treated with minimally invasive surgery with expandable duct system. NRS scores, ODI scores before and at 1 month after operation, clinical effects and fusion rates were compared between the two groups. Results Before operation, there were no significant differences in NRS and ODI scores between the two groups(P>0.05). At 1 month after operation, the NRS scores of the two groups were lower than those before operation, and that of the minimally invasive group was lower than the general group, and the differences were statistically significant(P<0.05). One month after operation, the ODI scores of the two groups were lower than those before operation, and that of the minimally invasive group was lower than the general group, and the differences were statistically significant(P<0.05). At 1 month after operation, the total effective rate of treatment in the minimally invasive group was significantly higher than that in the general group, and the difference was statistically significant(P<0.05). At 1 month after operation, the rate of bone graft fusion in the minimally invasive group was significantly higher than that in the general group, and the difference was statistically significant(P <0.05). Conclusion Compared with traditional posterior lumbar interwindow discectomy, minimally invasive surgery with expandable duct system is more effective in the treatment of lumbar disc herniation, which can obviously control the pain symptoms, promote the recovery of lumbar function, and improve the fusion of bone graft.
作者
李建平
刘震
LI Jian-ping;LIU Zhen(Orthopaedics Department,the People's Hospital of Fugu County,Yulin 719400,China)
出处
《临床医学研究与实践》
2020年第4期65-67,共3页
Clinical Research and Practice
