摘要
目的研究改良椎间孔镜技术在腰椎间盘突出症患者治疗中的应用及其对VAS评分的影响。方法方便选择2018年9月—2020年9月该院收治的腰椎间盘突出症患者110例作为研究对象,根据入院先后顺序分为研究组和对照组,每组55例。对照组采取传统开放式手术,研究组采取改良椎间孔镜技术进行治疗。对比两组患者的优良率、生活质量评分以及治疗前、术后1、6个月的VAS评分。结果研究组患者的治疗有效率为98.18%,明显高于对照组的83.64%,差异有统计学意义(χ^(2)=7.040,P=0.008);研究组的生活质量评分分别为(81.23±6.21)分、(69.79±8.14)分、(68.45±7.87)分、(68.41±6.31)分高于对照组(62.55±3.46)分、(51.91±6.53)分、(51.13±3.71)分、(54.56±3.37)分,差异有统计学意义(t=19.488、12.707、14.763、14.358,P<0.001);手术前两组患者的VAS评分差异无统计学意义(t=0.046,P=0.963),术后1、6个月研究组患者的VAS评分分别为(2.61±0.74)分、(1.33±0.72)分明显低于对照组的(5.61±0.79)分、(3.71±0.82)分,差异有统计学意义(t=20.554、16.175,P<0.001)。结论在对腰椎间盘突出症患者的治疗中应用改良椎间孔镜技术能够取得较好的效果,降低患者治疗后的痛苦,促进患者的功能恢复,提高治疗有效率,值得在临床上进行推广。
Objective To study the application of improved intervertebral foraminal technique in the treatment of patients with lumbar disc herniation and its effect on the VAS score.Methods 110 patients with lumbar intervertebral disc herniation admitted to the hospital from September 2018 to September 2020 were conveniently selected as the research objects.According to the order of admission,they were divided into study group and control group,with 55 patients in each group.The control group was treated with traditional open surgery,and the study group was treated with modified foraminal technology.The excellent rate,quality of life scores,and VAS scores before treatment,1 month after and 6 months after surgery were compared between the two groups.Results The effective rate of treatment in the study group was 98.18%,which was significantly higher than 83.64%in the control group,the difference was statistically significant(χ^(2)=7.040,P=0.008).The quality of life scores of the study group were(81.23±6.21)points,(69.79±8.14)points,(68.45±7.87)points,(68.41±6.31)points higher than those of the control group(62.55±3.46)points,(51.91±6.53)points,(51.13±3.71)points,(54.56±3.37)points,the difference was statistically significant(t=19.488,12.707,14.763,14.358,P<0.001).There was no statistically significant difference in the VAS scores of the two groups before surgery(t=0.046,P=0.963).The VAS scores of the study group were(2.61±0.74)points,(1.33±0.72)points at 1 month and 6 months after surgery lower than the control group(5.61±0.79)points,(3.71±0.82)points,the difference was statistically significant(t=20.554,16.175,P<0.001).Conclusion The application of improved intervertebral foraminal technology in the treatment of patients with lumbar disc herniation can achieve better results,reduce the pain of patients after treatment,promote the functional recovery of patients,and improve the efficiency of treatment.It is worthy of clinical promotion.
作者
宋青强
SONG Qingqiang(Department of Spine Surgery,Xiajin County People's Hospital,Dezhou,Shandong Province,253200 China)
出处
《中外医疗》
2022年第7期36-39,共4页
China & Foreign Medical Treatment
