不同脊柱内镜手术方式治疗腰椎管狭窄症的疗效比较

摘要/Abstract

摘要： 目的比较不同脊柱内镜手术方式治疗腰椎管狭窄症的疗效。方法前瞻性选取2019年1月~2021年10月于阿克苏市人民医院接受治疗的120例腰椎管狭窄症患者作为研究对象,按照随机数表法将患者分为两组,其中行单通道内镜技术的为对照组、行单侧双通道内镜技术的为观察组,每组60例。对比两组手术相关指标、临床疗效、日本骨科协会评分（Japanese Orthopaedic Association scores,JOA）、欧式功能障碍指数评分（Oswestry disability index,ODI）以及并发症发生情况。结果观察组手术时间明显短于对照组、下床活动时间和住院天数明显长于对照组,差异有统计学意义（P<0.05）,两组术中出血量比较,差异无统计学意义（P>0.05）;观察组临床治疗总有效率明显高于对照组,差异有统计学意义（P<0.05）;观察组JOA评分高于对照组、ODI评分低于对照组,差异有统计学意义（P<0.05）;两组并发症发生率比较,差异无统计学意义（P>0.05）。结论单侧双通道内镜技术相比于单通道内镜技术,可缩短手术时间,提高临床治疗效果,改善运动障碍,且两种治疗方法安全性无差异,值得临床应用。

关键词: 脊柱内镜, 腰椎管狭窄症, 手术指标, 并发症

Abstract: Objective To compare the curative effects of different spinal endoscopic surgery methods in the treatment of lumbar spinal stenosis. Methods 120 patients with lumbar spinal stenosis who were treated in Aksu City People's Hospital from January 2019 to October 2021 were prospectively selected as the research subjects, and the patients were divided into two groups according to the random number table method (60 cases in each group). The control group, the observation group who underwent unilateral dual-channel endoscopy. The surgery-related indicators,clinical efficacy,the Japanese Orthopaedic Association (JOA), the European Disability Index (ODI) and the incidence of complications were compared between the two groups. Results The operation time of the observation group was significantly shorter than that of the control group, the time of getting out of bed and the length of hospital stay were significantly longer than those of the control group (P<0.05). There was no significant difference in intraoperative blood loss between the observation group and the control group (P>0.05). The total effective rate of clinical treatment in the observation group was significantly higher than the control group (P<0.05); the JOA score of the observation group were higher than those of the control group, the ODI score of observafion up was lower in those of control group (P<0.05); The total incidence of complications in the observation was slightly lower than the control group, but the difference was notsignificant (P>0.05). Conclusion Compared with single-channel endoscopic technique, unilateral dual-channel endoscopic technique can shorten the operation time, improve clinical treatment effect, and improve movement disorders, and there is no difference in the safety of the two treatment methods, which can be used in clinical practice.

Key words: Spinal endoscopy, lumbar spinal stenosis, operation index, complications

中图分类号:

R681.5

史海军, 孟祥玉, 刘真, 何丽, 卢文婷, 俞春霞. 不同脊柱内镜手术方式治疗腰椎管狭窄症的疗效比较[J]. 中华养生保健, 2022, 40(19): 12-14.

SHI Hai-jun, MENG Xiang-yu, LIU Zhen, HE Li, LU Wen-ting, YU Chun-xia. Comparison of Curative Effects of Different Spinal Endoscopic Surgery Methods in the Treatment of Lumbar Apinal Stenosis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(19): 12-14.

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