Open Access Article
International Journal of Medicine and Data. 2022; 6: (6) ; 23-26 ; DOI: 10.12208/j.ijmd.20220231.
Clinical study of minimally invasive spinal surgery in patients with lumbar disc herniation
脊柱后路微创手术治疗腰椎间盘突出症患者的临床研究
作者：
王晓楠 *,
秦秋,
何方生,
王春辉,
韩鹏远
新疆第八师石河子市总医院 新疆石河子
*通讯作者：
王晓楠,单位：新疆第八师石河子市总医院 新疆石河子；
发布时间: 2022-11-11 总浏览量: 304
PDF 全文下载
引用本文
万方数据（WANFANG DATA）
摘要
目的 分析脊柱后路微创手术用于腰椎间盘突出症的价值。方法 对2020年10月-2022年7月本科接诊腰椎间盘突出症病人（n=82）进行随机分组，试验和对照组各41人，前者采取脊柱后路微创手术，后者行开放手术治疗。对比JOA评分等指标。结果 关于住院时间和术后下床活动时间，试验组数据比对照组短（P＜0.05）。关于VAS评分，术后1d：试验组数据（3.25±0.36）分，和对照组数据（4.24±0.39）分相比更低（P＜0.05）。关于JOA和sf-36评分，治疗结束时：试验组数据比对照组高（P＜0.05）。关于并发症，试验组发生率2.44%，和对照组数据17.07%相比更低（P＜0.05）。结论 腰椎间盘突出症用脊柱后路微创手术，病人的预后更好，并发症发生率更低，病情恢复也更快，腰椎功能改善更加明显，术后疼痛感减轻更为迅速。
关键词： 腰椎间盘突出症；生活质量；脊柱后路微创手术；疼痛感
Abstract
Objective To analyze the value of posterior minimally invasive spinal surgery for lumbar disc herniation. Methods Patients with lumbar disc herniation (n=82) from October 2020 to July 2022 were randomized, with 41 patients each in the control group. The former underwent minimally invasive posterior spinal surgery and the latter underwent open surgery. Compare the JOA score and other indicators. Results The data for the length of hospital stay and postoperative ambulation time were shorter than those for the control group (P <0.05). For VAS score, 1d: test group data (3.25 ± 0.36) was lower than control data (4.24 ± 0.39) (P <0.05). Regarding the JOA and sf-36 scores, at the end of the treatment: the trial group data was higher than the control group (P <0.05). Regarding the complications, the incidence rate in the trial group was 2.44%, and it was much lower than in the control group with the data of 17.07% (P <0.05). Conclusion Minimally invasive spinal surgery for lumbar disc herniation has a better prognosis, lower complication rate, faster recovery, better lumbar function improvement, and faster reduction of postoperative pain.
Key words： lumbar disc herniation; quality of life; minimally invasive posterior spinal surgery; pain
参考文献 References
[1] 步国强,宋国华,刘玉亮,等. 探讨脊柱微创术中经皮椎间孔镜技术治疗腰椎间盘突出症对脊柱稳定性的影响[J]. 系统医学,2022,7(3):151-154,162.
[2] 孙博. 脊柱后路微创手术治疗腰椎间盘突出症136例临床研究[J]. 中国伤残医学,2018,26(6):5-6.
[3] YE, YONG-PING, HU, JIAN-WEI, ZHANG, YONG-GUANG, et al Impact of lumbar interbody fusion surgeryon postoperative outcomes in patients with recurrent lum-bar disc herniation: Analysis of the US national inpatie-nt sample[J]. Journal of clinical neuroscience: official jo-urnal of the Neurosurgical Society of Australasia,2019,7020-26.
[4] 姜岩. 腰椎间盘突出症患者应用脊柱后路显微内窥镜下微创手术的疗效及预后[J]. 临床医学研究与实践,2019,4(22):93-94.
[5] 邓德明. 脊柱后路显微内窥镜下微创手术治疗腰椎间盘突出症及腰椎管狭窄症的效果[J]. 医学信息,2015(35):40-40.
[6] KENNEDY,D.J., PLASTARAS,C., CASEY ,E., et al. Comparative effectiveness of lumbar transforaminal epiduralsteroid injections with particulate versus nonparticulate corticosteroids for lumbar radicular pain due to intervertebral disc herniation A prospective, randomized, double-blind trial[J] Pain medicine: the official journal of the American Academy of Pain Medicine,2019,15(4):548-555.
[7] 林旭,徐建华,钟阳淋,等. 经皮椎间孔镜微创手术治疗与传统开放手术在治疗髓核脱出型腰椎间盘突出症的疗效分析[J]. 兵团医学,2022,20(1):6-8.
[8] 全赫. 脊柱后路微创手术治疗腰椎间盘突出症患者的临床研究[J]. 中国实用医药,2021,16(3):14-16.
引用本文
王晓楠, 秦秋, 何方生, 王春辉, 韩鹏远, 脊柱后路微创手术治疗腰椎间盘突出症患者的临床研究[J]. 国际医学与数据杂志, 2022; 6: (6) : 23-26.