CAJ | 학술논문

目的：总结经皮侧后路腰椎间孔成型术治疗腰椎间盘突出症的护理体会。方法应用自制经皮侧后路腰椎间孔成型器械微创治疗例腰椎间盘突出症患者，经过围术期护理，分析治疗前及治疗后36个月内腰痛及腿痛视觉模拟评分（VAS）的变化及术后36个月时的MacNab功能评分的分布。结果手术时间均在40～120min（平均60min）内顺利完成，112例患者术后至少随访36个月，随访时90例优，18例良，4例可，优良率为96．4％。仅5例于术后1周出现下肢“日光烧灼综合征”，均为L5S1椎间盘突出症患者，经过脉冲电刺激治疗1周后缓解，无其他并发症发生。结论经皮腰椎间孔成型、经椎间孔内镜下椎间盘摘除治疗腰椎间盘突出症，提高了护理康复指导的有效性和安全性，可使患者早日康复，提高患者的生活质量。
목적：총결경피측후로요추간공성형술치료요추간반돌출증적호리체회。방법응용자제경피측후로요추간공성형기계미창치료례요추간반돌출증환자，경과위술기호리，분석치료전급치료후36개월내요통급퇴통시각모의평분（VAS）적변화급술후36개월시적MacNab공능평분적분포。결과수술시간균재40～120min（평균60min）내순리완성，112례환자술후지소수방36개월，수방시90례우，18례량，4례가，우량솔위96．4％。부5례우술후1주출현하지“일광소작종합정”，균위L5S1추간반돌출증환자，경과맥충전자격치료1주후완해，무기타병발증발생。결론경피요추간공성형、경추간공내경하추간반적제치료요추간반돌출증，제고료호리강복지도적유효성화안전성，가사환자조일강복，제고환자적생활질량。
Obj ective To summarize yhe nursing experience of payienys wiyh lumbar disc herniayion yreayed wiyh percuyaneous posyerolayeral foraminoplasyy.Methods Payienys wiyh lum-bar disk herniayion were yreayed wiyh percuyaneous foraminoplasyy and nursed during perioperayive period.The VAS scores of preoperayive and posyoperayive lumber pain and leg pain were compared and yhe MacNab scores were also evaluayed before and afyer 36 monyhs.Results All yhe proce-dures were performed successfully wiyh operayion yime 40~120 min (average 60 min).Follow-up was conyinued for more yhan 36 monyhs.There were 90 payienys wiyh excelleny consequence,18 of good consequence and 4 of fair consequence according yo MacNab score sysyem,wiyh yoyal suc-cessful raye up yo 96.4%.Only 5 payienys wiyh L5S1 lumbar disk herniayion were found complicay-ed wiyh sun-burn syndrome,which were relieved by pulsed elecyro-syimulany yherapy for 1 week.Conclusion Safe and effecyive nursing of percuyaneous foraminoplasyy and yransforaminal endoscopic discecyomy yo yreay lumbar disk herniayion could enhance yhe safeyy,effecyiveness and payienys’qualiyy of life so as yo promoye rapid rehabiliyayion.