经皮椎间孔镜下椎间盘髓核摘除术治疗腰椎间盘突出症回顾性临床分析 金志宏.doc

精品论文 参考文献 经皮椎间孔镜下椎间盘髓核摘除术治疗腰椎间盘突出症回顾性临床分析 金志宏 DOI：10.7504/nk2016010203 中图分类号：692 文献标识码：A 　　摘要：的：探讨经皮椎间孔镜下椎间盘髓核摘除术(TESSYS)应用于腰椎间盘突出症临床治疗的效果。方法：选择2015年4月至2016年5月接受椎间孔镜TESSYS技术治疗的86例腰椎间盘突出症患者作为研究组，同时选择同一时期接受椎间盘镜(MED)系统治疗的86例腰椎间盘突出患者作为对照组。结果：研究组术后疼痛视觉模拟(VAS)评分优于术前(Plt;0.05)；对照组术后VAS评分优于术前(Plt;0.05)；研究组术中出血量明显少于对照组(Plt;0.05)；研究组手术切口长度为0.8cm，明显小于对照组的1.8cm(Plt;0.05)。结论：针对腰椎间盘突出症患者，采用经皮椎间孔镜下TESSYS技术进行治疗能获得良好疗效，出血量更少，疼痛感轻以及切口更小，应用效果良好。 　　关键词：经皮椎间孔；内镜；腰椎间盘突出症；疗效 　　A retrospective clinical analysis of the treatment of lumbar disc herniation with percutaneous lumbar disc herniation 　　Jin Zhihong 　　Department of orthopedics, Huangpi District Hospital of traditional Chinese medicine, Hubei, Wuhan 430300, China, Wuhan, China 　　[Abstract] Objective: To investigate the effect of percutaneous lumbar disc nucleus pulposus removal (TESSYS) in the treatment of lumbar disc herniation. Methods: choose 2015 April to 2016 may accept foraminal mirror tessys technology for the treatment of 86 cases of lumbar disc herniation were as the study group, and during the same period accept microendoscopic discectomy (MED) in the treatment of 86 cases of lumbar disc herniation patients as control group. Results: the study group postoperative pain visual simulation (VAS) score was better than before (P lt; 0.05), and the control group, the postoperative VAS score better than preoperative (P lt; 0.05); postoperative bleeding volume was less than that of the control group (P lt; 0.05); the operative incision length is 0.8cm, significantly less than control group of 1.8cm (P lt; 0.05). Conclusion: in the treatment of lumbar disc herniation patients, the TESSYS technology under the percutaneous lumbar intervertebral foramen can obtain good curative effect, less bleeding, less pain and less incision, good application effect. 　　[Key words] percutaneous lumbar intervertebral foramen; endoscope; lumbar disc herniation; curative effect 　　腰椎间盘突出症属于临床多发疾病，给广大患者带来严重的伤害，大大降低其生活质量，临床必须寻找科学有效的方法治疗。现就经皮椎间孔镜下