[1]尹浩 黄子洋 李晓鹏 王金 毛旭东 张勇△.椎间隙加压冲洗应用于椎间孔镜腰椎间盘髓核摘除术25例[J].中国中医骨伤科杂志,2022,30(08):61-63+67.
　YIN Hao HUANG Ziyang LI Xiaopeng WANG Jin MAO Xudong ZHANG Yong.25 Cases of Intervertebral Space Pressure Irrigation in Percutaneous Transforaminal Endoscopic Lumbar Discectomy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(08):61-63+67.
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椎间隙加压冲洗应用于椎间孔镜腰椎间盘髓核摘除术25例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年08期
页码:
61-63+67
栏目:
临床报道
出版日期:
2022-08-15

文章信息/Info

Title:
25 Cases of Intervertebral Space Pressure Irrigation in Percutaneous Transforaminal Endoscopic Lumbar Discectomy
文章编号:
1005-0205(2022)08-0061-03
作者:
尹浩1 黄子洋2 李晓鹏1 王金1 毛旭东1 张勇1△
1四川资阳市中医医院(四川 资阳,641300) 2四川省骨科医院
Author(s):
YIN Hao1 HUANG Ziyang2 LI Xiaopeng1 WANG Jin1 MAO Xudong1 ZHANG Yong1△
1Ziyang Traditional Chinese Medicine,Ziyang 641300,Sichuan China; 2Sichuan Orthopaedic Hospital,Chengdu 610000,China.
关键词:
腰椎间盘突出症;  椎间隙加压冲洗;  椎间孔镜
Keywords:
lumbar disc herniation;  intervertebral space pressure irrigation;  percutaneous transforaminal endoscopic discectomy
分类号:
R681.5
文献标志码:
B
摘要:
目的:评价椎间隙加压冲洗应用于椎间孔镜腰椎间盘髓核摘除术的临床意义。方法:选取50例腰椎间盘突出症患者,分为治疗组和对照组(各25例),对照组采用常规的手术方式,治疗组在术中加用椎间隙加压冲洗。记录两组患者手术时间、住院时间、手术前后的VAS评分及JOA评分、术后并发症的发生率,并采用 MacNab 标准对术后1,3,6 个月的治疗效果进行评价。结果:所有患者均得到随访,访时间为5～8个月,平均为(6.21±1.14)个月; 两组手术时间、住院时间、JOA评分比较,差异无统计学意义(P>0.05); 两组术后的VAS评分比较,治疗组要优于对照组,差异有统计学意义(P<0.05); 术后并发症对比,治疗组复发率较低有一定优势,但差异无统计学意义(P>0.05); 术后1,3,6个月两组MacNab评分优良率比较,治疗组优良率均高于对照组,但差异无统计学意义(P>0.05)。结论:经皮椎间孔镜腰椎间盘髓核摘除术采用椎间隙加压冲洗,能减轻术后疼痛,降低术后并发症的发生率,值得临床推广应用。
Abstract:
Objective:To evaluate the clinical significance of intervertebral space pressure irrigation in percutaneous transforaminal endoscopic lumbar discectomy.Methods:50 patients with lumbar disc herniation were divided into the treatment group(25 cases)and control group(25 cases).The control group was treated with conventional operation,and the treatment group was treated with intervertebral space pressure irrigation.The operation time,hospital stay,VAS score,JOA score before and after operation and the incidence of postoperative complications were recorded.The treatment efficacy at 1st,3rd and 6th months after operation was evaluated by MacNab standard.Results:All patients were followed up for 5 to 8 months,with(6.21 ±1.14)months on average.There was no significant difference in operation time,hospital stay and JOA score between the two groups(P>0.05).The VAS scores of the treatment group were better than that in the control group(P<0.05); the postoperative complications of treatment group was lower than that in the control group,but the difference was not statistically significant(P>0.05).The distinguished achiever ratio of MacNab score in the treatment group was higher than that in the control group at 1st,3rd and 6th months after operation,but the difference was not statistically significant(P>0.05).Conclusion:The intervertebral space pressure irrigation in percutaneous transforaminal endoscopic discectomy can reduce postoperative pain and the incidence of postoperative complications,which is worthy of popularization and application.

参考文献/References:

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备注/Memo

备注/Memo:
△通信作者 E-mail:278908918@qq.com
更新日期/Last Update: 2022-08-15