中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
5期
37-38,39
,共3页
党靖东%高利强%刘务杰%李福林%叶林江
黨靖東%高利彊%劉務傑%李福林%葉林江
당정동%고리강%류무걸%리복림%협림강
腰椎间盘突出症%脊柱内窥镜%模拟视觉评分
腰椎間盤突齣癥%脊柱內窺鏡%模擬視覺評分
요추간반돌출증%척주내규경%모의시각평분
Lumbar disc herniation%Spinal endoscopy%Visual analogue score
目的:评价经皮椎间孔脊柱内窥镜下技术治疗腰椎间盘突出症的临床疗效。方法:选择2011年7月-2013年3月本院收治并采用经皮椎间孔脊柱内窥镜下技术治疗的腰椎间盘突出症患者共265例,通过回顾分析治疗过程,并采用视觉模拟评分法(VAS)和Nakano改良标准评定治疗效果。结果:患者术前、术后7 d、术后30 d和术后180 d的VAS评分分别为(7.27±1.34)分、(2.95±1.16)分、(1.52±1.04)分、(1.49±0.76)分,术后7、30、180 d与术前VAS评分相比,差异有统计学意义(P<0.05)。患者平均手术时间为(47.2±7.5)min,平均住院时间为7.8 d。经治疗,优、良、可和差例数分别为209、45、11和0例,治疗优良率为95.85%。本组有2例患者术后过性下肢痛觉过敏,经对症治疗7~14 d后得以恢复。患者整体恢复情况良好,未出现术后复发再手术、未发生神经根损伤,未出现术中大出血。结论:经皮椎间孔脊柱内窥镜下技术治疗腰椎间盘突出症可以有效避免创伤,具有出血少、恢复快、疗效好的优势,值得在临床治疗中推广使用。
目的:評價經皮椎間孔脊柱內窺鏡下技術治療腰椎間盤突齣癥的臨床療效。方法:選擇2011年7月-2013年3月本院收治併採用經皮椎間孔脊柱內窺鏡下技術治療的腰椎間盤突齣癥患者共265例,通過迴顧分析治療過程,併採用視覺模擬評分法(VAS)和Nakano改良標準評定治療效果。結果:患者術前、術後7 d、術後30 d和術後180 d的VAS評分分彆為(7.27±1.34)分、(2.95±1.16)分、(1.52±1.04)分、(1.49±0.76)分,術後7、30、180 d與術前VAS評分相比,差異有統計學意義(P<0.05)。患者平均手術時間為(47.2±7.5)min,平均住院時間為7.8 d。經治療,優、良、可和差例數分彆為209、45、11和0例,治療優良率為95.85%。本組有2例患者術後過性下肢痛覺過敏,經對癥治療7~14 d後得以恢複。患者整體恢複情況良好,未齣現術後複髮再手術、未髮生神經根損傷,未齣現術中大齣血。結論:經皮椎間孔脊柱內窺鏡下技術治療腰椎間盤突齣癥可以有效避免創傷,具有齣血少、恢複快、療效好的優勢,值得在臨床治療中推廣使用。
목적:평개경피추간공척주내규경하기술치료요추간반돌출증적림상료효。방법:선택2011년7월-2013년3월본원수치병채용경피추간공척주내규경하기술치료적요추간반돌출증환자공265례,통과회고분석치료과정,병채용시각모의평분법(VAS)화Nakano개량표준평정치료효과。결과:환자술전、술후7 d、술후30 d화술후180 d적VAS평분분별위(7.27±1.34)분、(2.95±1.16)분、(1.52±1.04)분、(1.49±0.76)분,술후7、30、180 d여술전VAS평분상비,차이유통계학의의(P<0.05)。환자평균수술시간위(47.2±7.5)min,평균주원시간위7.8 d。경치료,우、량、가화차례수분별위209、45、11화0례,치료우량솔위95.85%。본조유2례환자술후과성하지통각과민,경대증치료7~14 d후득이회복。환자정체회복정황량호,미출현술후복발재수술、미발생신경근손상,미출현술중대출혈。결론:경피추간공척주내규경하기술치료요추간반돌출증가이유효피면창상,구유출혈소、회복쾌、료효호적우세,치득재림상치료중추엄사용。
Objective:To evaluate clinical efficacy of percutaneous transforaminal endoscopic technique in the treatment of spinal lumbar disc herniation. Method:From July 2011 to March 2013,265 cases of spinal lumbar disc herniation were treated with percutaneous transforaminal endoscopic technique,therapeutic effect were evaluated by visual analogue scale France(VAS)and standard assessment Nakano. Result:The VAS scores were(7.27±1.34),(2.95±1.16),(1.52±1.04),(1.49±0.76)before surgery and postoperative 7,30,180 d. Compared with before surgery,and VAS score in postoperative 7,30,180 d had significantly decreased(P<0.05). The mean operative time was(47.2±7.5)min,the average length of stay was 7.8 d. After treatment,excellent,good,fair and poor patients were respectively 209,45,11 and 0 cases,the excellent and good rate was 95.85%.Two cases had lower extremity pain hyperalgesia and restored by symptomatic treatment after 7-14 d. Overall patient recovering well, did not appear recurrence after surgery,there was no nerve root injury,did not appear intraoperative bleeding. Conclusion:Percutaneous endoscopic transforaminal technique for lumbar spinal disc herniation can effectively avoid the trauma,with less bleeding,faster recovery,efficacy good advantage,it is worth to promote in the clinical treatment.