潍坊医学院学报
濰坊醫學院學報
유방의학원학보
JOURNAL OF WEIFANG MEDICAL COLLEGE
2015年
1期
59-61
,共3页
Quadrant通道%开放手术%焦虑%抑郁
Quadrant通道%開放手術%焦慮%抑鬱
Quadrant통도%개방수술%초필%억욱
Quadrant channel%Open surgery%Anxious%Depression
目的：评价Quadrant通道下髓核摘除术与开放手术髓核摘除术对患者创伤和心理的影响。方法2012年12月～2014年5月入院的112例腰椎间盘突出病人，随机选取43例患者进行研究。20例单节段同侧腰椎间盘突出症患者采用Quadrant可扩张通道手术治疗，作为实验组（ Quadrant组）。23例患者采用传统开放手术治疗作为对照组（开放组）。疗效评定按照目测视觉疼痛类比评分法（ VAS评分）、焦虑自评量表（ SAS ）和抑郁自评量表（SDS）分别在术前和术后4d进行评分，比较两组术前术后的VAS评分、SAS评分、SDS评分。结果开放组与Quadrant组术后的VAS评分、SAS评分、SDS评分分别为（54．00±8．11，53．00±8．12），（47．25±7．83，48．25±7．36），（4．00±0．50，3．50±0．50），差异均有显著性。结论 Quadrant通道下治疗同侧单节段腰椎间盘突出症给患者带来较少创伤的同时，也减轻了疼痛、焦虑、抑郁情绪。
目的：評價Quadrant通道下髓覈摘除術與開放手術髓覈摘除術對患者創傷和心理的影響。方法2012年12月～2014年5月入院的112例腰椎間盤突齣病人，隨機選取43例患者進行研究。20例單節段同側腰椎間盤突齣癥患者採用Quadrant可擴張通道手術治療，作為實驗組（ Quadrant組）。23例患者採用傳統開放手術治療作為對照組（開放組）。療效評定按照目測視覺疼痛類比評分法（ VAS評分）、焦慮自評量錶（ SAS ）和抑鬱自評量錶（SDS）分彆在術前和術後4d進行評分，比較兩組術前術後的VAS評分、SAS評分、SDS評分。結果開放組與Quadrant組術後的VAS評分、SAS評分、SDS評分分彆為（54．00±8．11，53．00±8．12），（47．25±7．83，48．25±7．36），（4．00±0．50，3．50±0．50），差異均有顯著性。結論 Quadrant通道下治療同側單節段腰椎間盤突齣癥給患者帶來較少創傷的同時，也減輕瞭疼痛、焦慮、抑鬱情緒。
목적：평개Quadrant통도하수핵적제술여개방수술수핵적제술대환자창상화심리적영향。방법2012년12월～2014년5월입원적112례요추간반돌출병인，수궤선취43례환자진행연구。20례단절단동측요추간반돌출증환자채용Quadrant가확장통도수술치료，작위실험조（ Quadrant조）。23례환자채용전통개방수술치료작위대조조（개방조）。료효평정안조목측시각동통류비평분법（ VAS평분）、초필자평량표（ SAS ）화억욱자평량표（SDS）분별재술전화술후4d진행평분，비교량조술전술후적VAS평분、SAS평분、SDS평분。결과개방조여Quadrant조술후적VAS평분、SAS평분、SDS평분분별위（54．00±8．11，53．00±8．12），（47．25±7．83，48．25±7．36），（4．00±0．50，3．50±0．50），차이균유현저성。결론 Quadrant통도하치료동측단절단요추간반돌출증급환자대래교소창상적동시，야감경료동통、초필、억욱정서。
[ ABSTRACT] Objective To evaluate the impact of resection of nucleus pulposus via Quadrant channel and open surgery on pa -tients'traumatic and psychological .Methods Among 112 cases hospitalized lumbar disc patients during December 2012 to May 2014,43 pa-tients were randomly selected for study .Twenty patients with single segmental lumbar disc disease on the same side treated by Quadrant ex -panded channels surgery were selected as the experimental group ( group Quadrant ) .Twenty-three cases treated by traditional open surgery were selected as the control group ( open group ) .Curative effect evaluation was made in accordance with the method of visual analog pain score(VAS score),self-evaluation of anxiety scale(SAS) and depression self rating scale(SDS) in preoperative and postoperative 4 days re-spectively and the postoperative and preoperative VAS score ,SAS scores and SDS scores of the two groups were compared .Results Postoper-ative VAS score,SAS scores and SDS scores of open and minimally invasive group was (54.00 ±8.11,53.00 ±8.12),(47.25 ±7.83,47. 25 ±7.36) and (4.00 ±0.50,3.50 ±0.5) respectively and the differences were significant .Conclusion Quadrant channel under the treat-ment of ipsilateral not only reduce the trauma of patients with single segmental lumbar intervertebral disc protrusion but also reduce their pain,anxiety and depression .
