International Journal of Clinical Research
International Journal of Clinical Research. 2025; 9: (2) ; 10.12208/j.ijcr.20250085 .
总浏览量: 55
长春中德骨科医院 吉林长春
*通讯作者: 张治民,单位:长春中德骨科医院 吉林长春;
目的 明确经皮椎间孔镜下髓核摘除术治疗腰间盘突出症的效果。方法 研究纳入2023年9月-2024年9月中综合临床各项检查结果满足腰间盘突出症诊断标准的30例患者,以随机数字表法安排为两组,对照组与观察组分别15例患者,对照组行常规手术方案干预,观察组行经皮椎间孔镜下髓核摘除术干预,对不同干预效果进行比较分析。结果 干预后观察组总不良事件例数占比更少、治疗后观察组疼痛程度数据值更低、观察组临床指标各数据值更低,P值结果<0.05,统计学差异大。结论 于腰间盘突出症患者中施以经皮椎间孔镜下髓核摘除术措施,有利于减少不良事件风险,增强疼痛减轻效果,让患者尽早出院。
Objective To determine the effect of percutaneous intervertebral foraminoscopic extraction of nucleus pulposus in the treatment of lumbar disc herniation. Methods A total of 30 patients who met the diagnostic criteria for lumbar disc herniation from 2023.09 to 2024.09 were included in the study and divided into two groups by random number table method, 15 patients in the control group and observation group respectively. The control group received conventional surgical intervention, and the observation group received percutaneous intervertebral foraminoscopy nucleus pulposus extraction intervention. The effects of different interventions were compared and analyzed. Results After intervention, the proportion of total adverse events in the observation group was less, the pain degree of the observation group was lower, and the clinical indicators of the observation group were lower, and the P-value was <0.05, indicating a significant statistical difference. Conclusion Percutaneous intervertebral foraminoscopic extraction of nucleus pulposus in patients with lumbar disc herniation is beneficial to reduce the risk of adverse events, enhance the effect of pain relief, and enable patients to leave hospital as soon as possible.
[1] 陈丽娟,茅志娟,陆芳芹,等. 深层肌康复锻炼联合揿针对经皮椎间孔镜下髓核摘除术后腰间盘突出症患者腰痛及日常生活的影响[J]. 中国医药导报,2022,19(15):97-100.
[2] 孟长峰,孙建强,莫涛. 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床效果[J]. 临床医学,2020,40(7):58-60.
[3] 翟小元,仇卫华. 后路经皮椎间孔镜下椎间孔成行髓核摘除术治疗椎间盘突出症的疗效[J]. 临床医药文献电子杂志, 2020,7(95):28,30.
[4] 翁海忠,陈礼鑫,杭海风,等. 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床效果研究[J]. 临床医药文献电子杂志,2021,8(27):56-58,40.
[5] 李贵双,王滨城. 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果[J]. 中国当代医药,2021,28(17):93-95,99.
[6] 谢瑞堂,莫似环,黄冲,等. 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果[J]. 中国医学创新,2023, 20(29): 20-24.
[7] 高禄鑫,贾明瑞,许贤静. 经皮椎间孔镜下髓核摘除术与经皮椎间孔镜下椎板开窗髓核摘除术用于治疗腰椎间盘突出症的效果对比[J]. 首都食品与医药,2024,31(11):49-51.
[8] 杨奇峰,谭洪宇,张杨. 对比经皮椎间孔镜下髓核摘除术与微创经椎间孔腰椎椎体间融合术对腰椎间盘突出症患者的临床疗效[J]. 四川生理科学杂志,2024,46(6):1193-1196.