摘要
目的研究脊柱内镜治疗腰椎管狭窄症中椎间孔入路和椎板间入路的减压范围和临床疗效。方法选取2016年12月至2019年12月本院收治的腰椎管狭窄症患者150例,随机分为对照组75例(采用脊柱内镜下椎间孔入路方式)与研究组75例(采用脊柱内镜下椎板间入路方式)。观察比较两组各项手术指征、ODI评分、VAS评分、术后末次随访MacNab优良率。结果研究组手术时间、卧床时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。术前两组ODI评分、VAS评分比较,差异无统计学意义(P>0.05);研究组术后ODI评分、VAS评分低于对照组,差异有统计学意义(P<0.05)。研究组术后末次随访MacNab优良率为96.00%,高于对照组的86.67%,差异有统计学意义(P<0.05)。结论脊柱内镜下椎板间入路方式比椎间孔入路方式的作用更佳,对于缩短患者的手术时间、减少术中出血量、提高临床疗效等有十分重要的意义。
Objective To study the decompression range and clinical effect of spinal endoscopy in the treatment of lumbar spinal stenosis.Methods A total of 150 patients with lumbar spinal stenosis admitted to our hospital from December 2016 to December 2019 were selected.All patients were divided into the control group 75 cases(with spine endoscopic intervertebral foraminal approach)and the study group 75 cases(using spinal endoscopic interlaminar approach).The various surgical indications,ODI score,VAS score and the excellent and good rate of MacNab at the last follow-up after surgery between the two goups were observed and compared.Results The operation time and bed rest in the study group were shorter than the control group,the intraoperative blood loss was less than the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in ODI score and VAS score of the two groups before treatment(P>0.05).After treatment,the ODI score and VAS score of the study group were statistically significant lower than those of the control group(P<0.05).The excellent and good rate of MacNab in the study group at the last follow-up after surgery was 96.00%,statistically significant higher than 86.67%in the control group(P<0.05).Conclusion The method of interlaminar approach under spinal endoscopy has a better effect than the method of foraminal approach in this study.It is of great significance for shortening the operation time of patients,reducing intraoperative blood loss and improving clinical efficacy.
作者
李鹏
沈忠达
LI Peng;SHEN Zhongda(The Third Department of Orthopedics,Jiamusi Hospital of Traditional Chinese Medicine in Heilongjiang Province,Jiamusi154002,China)
出处
《中国现代医生》
2021年第11期62-65,共4页
China Modern Doctor
基金
中华人民共和国国家发展和改革委员会项目(2019X000G142)。
关键词
椎间孔入路
腰椎管狭窄症
减压范围
椎板间入路
脊柱内镜
Intervertebral foraminal approach
Lumbar spinal stenosis
Decompression range
Interlaminar approach
Spinal endoscopy
