经侧后路椎间孔镜下椎间盘髓核摘除术对腰椎间盘突出症患者术后疼痛程度及腰椎功能的影响

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摘要目的探讨经侧后路椎间孔镜下椎间盘髓核摘除术（PTED）对腰椎间盘突出症患者术后疼痛程度（VAS）及腰椎功能（ODI）的影响。方法选取腰椎间盘突出症患者82例,依据随机数字表法分为研究组（n=41）及对照组（n=41）。对照组采取后路椎板间开窗髓核摘除术（FD）术式,研究组采取PTED。统计两组手术情况、手术前后VAS及ODI评分、血清可溶性肿瘤坏死因子I型受体（sTNF-RI）、前列腺素E2（PGE2）水平、并发症。结果研究组手术时长长于对照组,但切口长度小于对照组,术中失血量少于对照组,术后卧床时长、术后住院时长短于对照组（P<0.05）;术后研究组VAS、ODI评分低于对照组（P<0.05）;术后1 d研究组血清sTNF-RI水平高于对照组,PGE2水平低于对照组（P<0.05）;研究组并发症发生率（4.88%）低于对照组（19.51%）（P<0.05）。结论采取PTED治疗腰椎间盘突出症效果显著,且具有安全性,利于改善患者腰椎功能。

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	杨德富
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	师雪飞

关键词 ： PTED, 腰椎间盘突出症, 疼痛程度, 腰椎功能

Abstract：Objective To investigate the effect of intervertebral disc nucleus pulposus excision under lateral posterior foraminal endoscopy（PTED）on postoperative pain（VAS）and lumbar function（ODI）in patients with lumbar disc herniation. Methods 82 patients with lumbar disc herniation in our hospital were selected and divided into a study group（n=41）and a control group（n=41）according to the random number table method.The control group was treated withposterior interlaminar fenestration of the nucleus pulposus（FD）surgery,and the study group was treated with PTED.The operation condition,VAS and ODI scores before and after operation,serum soluble tumor necrosis factor type I receptor（sTNF-RI）,prostaglandin E2（PGE2）levels,and complications were counted. Results The operation time of the study group was longer than that of the control group,but the incision length was shorter than that of the control group,The blood loss during operation was less than that of the control group,the length of postoperative bed stay and postoperative hospital stay in the study group were shorter than those in the control group（P<0.05）;The VAS and ODI scores of the study group after operation were lower than those of the control group（P<0.05）;The serum sTNF-RI level of the study group was higher than that of the control group,and the PGE2 level was lower than that of the control group 1 day after operation（P<0.05）;The complication rate of the study group（4.88%）was lower than that of the control group（19.51%）（P<0.05）. Conclusion The treatment of lumbar disc herniation with PTED has significant effect and safety,which is beneficial to improve the lumbar function of patients.

Key words： PTED Lumbardisc herniation Pain degree Lumbar function

收稿日期: 2020-12-23

PACS:

R681.5+3

引用本文:

杨德富, 田园, 李金杰, 宋君玮, 师雪飞. 经侧后路椎间孔镜下椎间盘髓核摘除术对腰椎间盘突出症患者术后疼痛程度及腰椎功能的影响[J]. 哈尔滨医药, 2021, 41(6): 18-20.
Yang Defu, Tian Yuan, Li Jinjie, Song Junwei, Shi Xuefei. Effect of Intervertebral Disc Nucleus Pulposus Excision Under Lateral Posterior Foraminal Endoscopy on Postoperative Pain Degreeand Lumbar Function in Patients With Lumbar Disc Herniation. journal1, 2021, 41(6): 18-20.

链接本文:

http://www.hrbyybjb.org.cn/CN/ 或 http://www.hrbyybjb.org.cn/CN/Y2021/V41/I6/18

[1] 孔祥泉,黎全猛,罗雨桥,等.椎间孔镜下腰椎间盘髓核摘除术治疗腰椎间盘突出症临床研究[J].深圳中西医结合杂志,2018,28(13):31-32.
[2] 赵明成. 经皮椎间孔镜下髓核摘除术与椎板开窗减压髓核摘除术治疗腰椎间盘突出症患者对比研究[J].黑龙江医药科学,2020,43(3):173-174.
[3] 张艳勇,张旭.经皮侧后路椎间孔镜下髓核摘除术对腰椎间盘突出症青少年患者术后疼痛程度改善及JOA评分的影响[J].中国疗养医学,2019,28(6):608-610.
[4] 张芳芳. 侧路椎间孔镜髓核摘除治疗腰椎间盘突出的效果和安全性分析[J].医学临床研究,2018,35(12):2395-2397.
[5] 杨虎,李鹏飞,贾楠,等.四种手术入路行椎间孔镜髓核摘除术治疗巨大型腰椎间盘突出的比较研究[J].中国修复重建外科杂志,2020,34(3):33-40.
[6] 王宏庆,董婕,刘祖耀,等.经皮椎间孔镜下髓核摘除术治疗中央型腰椎间盘突出症[J].颈腰痛杂志,2019,40(3):414-415.
[7] 刘大辉. 经皮侧后路椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果[J].河南医学研究,2019,28(15):2737-2739.
[8] 高小亮,杨晓辉,黄卫民,等.经皮侧后路椎间孔镜下髓核摘除术治疗青少年腰椎间盘突出症的疗效与安全性分析[J].医学临床研究,2017,34(7):1291-1293.
[9] 张玉民. 侧后路椎间孔镜下椎间盘髓核摘除术对腰椎间盘突出症患者术后疼痛程度及生活质量的影响[J].现代医用影像学,2018,27(6):2130.
[10] 陈涛. 经侧后路椎间孔镜下椎间盘髓核摘除术治疗腰椎间盘突出症[J].内蒙古医学杂志,2017,49(5):569-571.
[11] 周凯,贺中原,唐可,等.经侧后路椎间孔镜下椎间盘髓核摘除术与传统后路椎间开窗髓核摘除术治疗腰椎间盘突出症的手术效果比较[J].中国处方药,2020,18(4):183-184.
[12] 周健. 侧路椎间孔镜髓核摘除术对腰椎间盘突出症患者术中出血量及术后血清PGE2和sTNF-RI水平变化的影响[J].国际医药卫生导报,2017,23(21):3350-3354.