摘要
目的比较小开窗微创手术与侧路椎间孔镜治疗L5/S1椎间盘突出症的临床效果。方法选择102例L5/S1椎间盘突出症患者,按手术方式的不同分为对照组(50例)和观察组(52例)。对照组给予侧路椎间孔镜手术治疗,观察组给予小开窗微创手术治疗。比较两组患者手术时间、术中出血量、切口长度及术前、术后第1天、术后1个月视觉模拟量表(VAS)评分。结果观察组手术时间长于对照组,术中出血量少于对照组,切口长度短于对照组;术后第1天和术后1个月,观察组的VAS评分显著低于对照组(均P<0.05)。结论小开窗微创手术治疗L5/S1椎间盘突出症较侧路椎间孔镜治疗效果更好,切口小,能减少术中出血量,减轻术后疼痛,提升患者的预后质量,具有推广价值。
Objective To compare the clinical effect of minimally invasive surgery with small incision fenestration and lateral intervertebral foramina endoscopy in the treatment of L5/S1 disc herniation.Methods A total of 102 patients with L5/S1 disc herniation were selected and divided into control group(50 cases)and observation group(52 cases)according to different surgical methods.Patients in the control group were administered lateral intervertebral foramenina endoscopy,while the observation group were treated with minimally invasive surgery with small incision fenestration.The operation duration,intraoperative bleeding volume and incision length,as well as the visual analogue scale(VAS)scores before surgery,on the first day and 1 month after surgery were compared between the two groups.Results Compared to the control group,patients in the observation group obtained longer operation duration,less intraoperative bleeding volume,shorter incision length;whereas lower VAS scores on the first day and 1 month after surgery(all P<0.05).Conclusion The therapeutic effect of minimally invasive surgery with small incision fenestration for L5/S1 disc herniation is more significant compared to lateral intervertebral foramen endoscopy,with small incision,reduced intraoperative bleeding volume,alleviated postoperative pain,and thus it can improve the prognosis quality and is worthy of promotion.
作者
王彦鹏
WANG Yanpeng(The Second Department of Orthopedics,Traditional Chinese Medicine Hospital of Shaanxi Province,Xi'an 710003,China)
出处
《微创医学》
2020年第1期10-12,共3页
Journal of Minimally Invasive Medicine
基金
陕西省西安市科技计划项目(编号:201507006)。
关键词
椎间盘突出症
侧路椎间孔镜
小开窗微创手术
临床效果
Disc herniation
Lateral intervertebral foramina endoscopy
Minimally invasive surgery with small incision fenestration
Clinical effect
