[1]王喆,何强,何昊.经皮椎间孔镜治疗极外侧型LDH患者的疗效、MRI腰椎影像参数及JOA评分改变[J].徐州医科大学学报,2022,42(05):330-335.[doi:10.3969/j.issn.2096-3882.2022.05.004]
 The effect of percutaneous intervertebral foraminal endoscopy on surgical conditions, MRI lumbar spine imaging parameters and JOA score in patients with extreme lateral LDH[J].Journal of Xuzhou Medical University,2022,42(05):330-335.[doi:10.3969/j.issn.2096-3882.2022.05.004]
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经皮椎间孔镜治疗极外侧型LDH患者的疗效、MRI腰椎影像参数及JOA评分改变()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
42
期数:
2022年05期
页码:
330-335
栏目:
出版日期:
2022-05-25

文章信息/Info

Title:
The effect of percutaneous intervertebral foraminal endoscopy on surgical conditions, MRI lumbar spine imaging parameters and JOA score in patients with extreme lateral LDH
作者:
王喆何强何昊
巴中市中医院骨科,四川巴中636000
关键词:
极外侧型腰椎间盘突出症经皮椎间孔镜技术MRI腰椎影像参数改良经椎间孔腰椎椎体间融合术
分类号:
R681.5+3
DOI:
10.3969/j.issn.2096-3882.2022.05.004
文献标志码:
A
摘要:
为探究经皮椎间孔镜技术治疗极外侧型腰椎间盘突出症(LDH)患者的效果,选取我院极外侧型LDH患者60例,随机数字表法分组,各30例。对照组给予常规椎板间隙开窗间盘摘除术,研究组给予经皮椎间孔镜下椎间盘髓核摘除术。比较2组手术情况、住院天数、手术前后磁共振成像(MRI)腰椎影像参数、腰腿痛(VAS)评分、腰椎功能(JOA)评分、神经根Lindblon分级、下肢神经传导速度及疗效优良率。结果显示,研究组术中失血量少于对照组,住院天数短于对照组(P<0.05);术后6个月,研究组腰腿VAS评分低于对照组,JOA评分、下肢神经传导速度、疗效优良率高于对照组,神经根Lindblon分级、MRI腰椎影像参数优于对照组(P<0.05)。表明经皮椎间孔镜技术治疗极外侧型LDH能改善MRI腰椎影像参数、下肢神经传递,缓解腰腿痛,提高腰椎功能,效果显著。
Abstract:
To explore the effect of percutaneous transforaminal endoscopy on patients with extreme lateral lumbar disc herniation (LDH), a total of 60 patients with extreme lateral LDH in our hospital were selected. They were grouped according to the random number table method, each with 30 cases. The control group was given routine laminectomy and discectomy, and the study group was given the percutaneous foraminal endoscopic discectomy. The operation status, length of hospital stay, magnetic resonance imaging (MRI) parameters of lumbar spine before and after operation, degree of pain (VAS) score, and lumbar spine function (JOA) score, Lindblon grading of nerve roots, lower limb nerve conduction velocity and the excellent and good rate of curative effect were compared between the two groups. The results showed that the blood loss in the study group was less than that of the control group, and the hospital stay was shorter than that of the control group (P<0.05). Six months after the operation, the waist and leg VAS score of the study group was lower than that of the control group, and the JOA score, lower limb nerve conduction velocity. And the excellent and good rate of curative effect were higher than those of the control group. Lindblon grading of nerve roots and MRI lumbar imaging parameters were better than those of the control group (P<0.05). It shows that the treatment of extreme lateral LDH with percutaneous transforaminal endoscopy can improve MRI lumbar spine imaging parameters, lower limb nerve transmission, relieve the pain degree of lumbar and leg, and improve lumbar spine function, with significant effects.

备注/Memo

备注/Memo:
基金项目:四川省卫生健康委员会科研课题(18PJ1187)
更新日期/Last Update: 2022-06-07