[1]付佳男.经椎间孔入路与椎板间入路脊柱内镜下治疗L5/S1椎间盘突出症的临床疗效[J].医学信息,2022,35(23):119-121.[doi:10.3969/j.issn.1006-1959.2022.23.023]
　FU Jia-nan.Clinical Efficacy of Transforaminal Approach and Interlaminar Approach in the Treatment of L5/S1 Disc Herniation Under Spinal Endoscopy[J].Journal of Medical Information,2022,35(23):119-121.[doi:10.3969/j.issn.1006-1959.2022.23.023]
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经椎间孔入路与椎板间入路脊柱内镜下治疗L5/S1椎间盘突出症的临床疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年23期
页码:
119-121
栏目:
临床研究
出版日期:
2022-12-01

文章信息/Info

Title:
Clinical Efficacy of Transforaminal Approach and Interlaminar Approach in the Treatment of L5/S1 Disc Herniation Under Spinal Endoscopy
文章编号:
1006-1959（2022）23-0119-03
作者:
付佳男
（天津市蓟州区人民医院骨一科，天津 301900）
Author(s):
FU Jia-nan
(The First Department of Orthopedics,Tianjin Jizhou District People’s Hospital,Tianjin 301900,China)
关键词:
经椎间孔入路; 椎板间入路; 脊柱内镜; L5/S1椎间盘突出症
Keywords:
Transforaminal approach; Interlaminar approach; Spinal endoscopy; L5/S1 disc herniation
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2022.23.023
文献标志码:
A
摘要:
目的 比较经椎间孔入路与椎板间入路脊柱内镜下治疗L5/S1椎间盘突出症的临床疗效。方法 选取2020年10月-2021年10月在我院诊治的92例L5/S1椎间盘突出症患者为研究对象，采用随机数字表法分为对照组和观察组，各46例。两组患者均采用椎间孔镜下髓核摘除术治疗，对照组经椎间孔入路，观察组经椎板间入路，比较两组治疗优良率、疼痛（VAS）评分、腰椎JOA评分、Oswestry功能障碍指数（ODI）评分、手术指标及并发症发生率。结果 观察组优良率为89.13%，高于对照组的84.78%，但差异无统计学意义（P＞0.05）；两组VAS、ODI评分均低于治疗前，JOA评分均高于治疗前，但两组上述指标比较，但差异无统计学意义（P＞0.05）；观察组手术时间、术中出血量、X线放射次数均小于对照组（P＜0.05），两组住院时间比较，差异无统计学意义（P＞0.05）；两组并发症发生率比较，差异无统计学意义（P＞0.05）。结论 经椎间孔入路与椎板间入路脊柱内镜下治疗L5/S1椎间盘突出症均具有良好的疗效，可促进腰椎功能恢复，改善患者临床症状。但是椎板间入路手术时间短、术中出血量少，X线放射次数少，具有一定的应用优势。
Abstract:
Objective To compare the clinical efficacy of transforaminal approach and interlaminar approach for endoscopic treatment of L5/S1 disc herniation.Methods A total of 92 patients with L5/S1 disc herniation diagnosed and treated in our hospital from October 2020 to October 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 46 cases in each group. Both groups were treated with nucleus pulposus removal under intervertebral foramen. The control group was treated with intervertebral foramen approach, and the observation group was treated with interlaminar approach. The excellent and good rate, pain (VAS) score, lumbar JOA score, Oswestry dysfunction index (ODI) score, surgical index and complication rate were compared between the two groups.Results The excellent and good rate of the observation group was 89.13%, which was higher than 84.78% of the control group, but the difference was not statistically significant (P>0.05). The VAS and ODI scores of the two groups were lower than those before treatment, and the JOA scores were higher than those before treatment, but there was no significant difference between the two groups (P>0.05). The operation time, intraoperative blood loss and X-ray radiation times in the observation group were less than those in the control group (P<0.05). There was no significant difference in hospitalization time between the two groups (P>0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05).Conclusion Transforaminal approach and interlaminar approach for endoscopic treatment of L5/S1 disc herniation have good curative effect, which can promote the recovery of lumbar function and improve the clinical symptoms of patients. However, the interlaminar approach has the advantages of short operation time, less intraoperative blood loss and less X-ray radiation.

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更新日期/Last Update: 1900-01-01