摘要
目的:比较显微腰椎间盘切除术(MSLD)及经皮椎间孔镜下腰椎间盘切除术(PELD)治疗单节段腰椎间盘突出症(LDH)的疗效。方法:抽取2018年10月至2020年9月聊城市中医医院收治的单节段LDH患者78例,采用随机数字表法将其分为两组。对照组39例,采取MSLD术式治疗;观察组39例,采取PELD术式治疗。比较两组患者的一般手术指标、视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分及临床疗效。结果:与对照组比较,观察组手术时间更长,切口长度更小,住院及恢复工作时间更短,差异有统计学意义(P<0.05)。末次随访时,观察组VAS评分为(0.89±0.32)分,低于对照组的(1.34±0.41)分,P<0.05;但两组ODI评分比较差异未见统计学意义(P>0.05)。经改良MacNab标准判定,观察组优良率为97.44%(38/39),对照组为94.87(37/39),两组比较差异未见统计学意义(P>0.05)。结论:MSLD、PELD两种术式治疗单节段LDH的疗效相当,但PELD术式的切口更小,术后恢复更快,疼痛更轻。
Objective To compare the effect of microscopic lumbar discectomy(MSLD)and percutaneous endoscopic lumbar discectomy(PELD)on patients with single-segment lumbar disc herniation(LDH).Methods A total of 78 patients with single-segment LDH treated in Liaocheng Hospital of Traditional Chinese Medicine from October 2018 to September 2020 were selected,and they were divided into two groups by random number table method,with 39 cases in each group.Patients in the control group were treated by MSLD surgery,and patients in the observation group were treated by PELD surgery.The general surgical indicators,visual analogue scale(VAS)score,Oswestry disability index(ODI)score,and clinical efficacy of the two groups were compared.Results Compared with the control group,the observation group had longer operation time,smaller incision length,shorter hospitalization and recovery time,and the difference was significant(P<0.05).At the last follow-up,the VAS score of the observation group(0.89±0.32)was lower than that in the control group(1.34±0.41),P<0.05;but there was no significant difference in ODI scores between the two groups(P>0.05).According to the modified MacNab standard,the excellent and good rate was 97.44%(38/39)in the observation group,and 94.87%(37/39)in the control group;while there was no significant difference between the two groups(P>0.05).Conclusions MSLD and PELD have comparable curative effects in the treatment of single-segment LDH,but PELD has a smaller incision,faster postoperative recovery,less pain.
作者
张忠河
Zhang Zhonghe(Department of Spine and Orthopedics,Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng 252000,China)
出处
《中国实用医刊》
2021年第13期38-41,共4页
Chinese Journal of Practical Medicine
