椎间孔镜BEIS技术对腰椎间盘突出症患者的治疗效果分析OA
Analysis of the Therapeutic Efficacy of Transforaminal Endoscopic BEIS Technique in Patients with Lumbar Disc Herniation
目的:分析椎间孔镜BEIS技术治疗腰椎间盘突出症(LDH)患者的效果.方法:选取 2021年 2月—2024年2月山东颐养健康集团新汶中心医院收治的 60例LDH患者为研究对象,采用随机数字表法将其分为对照组及研究组,各 30例.对照组行椎板开窗减压髓核摘除术治疗,研究组行椎间孔镜BEIS技术治疗.比较两组手术情况、疼痛程度、腰椎活动度、椎间盘退变程度、髓核退变程度及并发症发生情况.结果:研究组的手术用时、住院时长均短于对照组,术中出血量低于对照组,差异均有统计学意义(P<0.05).术后 24 h、1周、1个月,研究组的疼痛视觉模拟法评分均低于对照组,差异均有统计学意义(P<0.05).术后 6个月,研究组各方向的腰椎活动度均大于对照组,椎间盘高度指数、信号强度比均低于对照组,椎间盘Pfirrmann分级优于对照组,差异均有统计学意义(P<0.05).研究组的并发症发生率为 10.00%,低于对照组的30.00%,差异有统计学意义(P<0.05).结论:椎间孔镜BEIS技术可降低LDH患者的手术用时、术后住院时长、术中出血量,减轻疼痛,提高其腰椎活动度,延缓椎间盘及髓核退变,降低术后并发症发生率.
Objective:To analyze the effect of transforaminal endoscopic BEIS technique in the treatment of lumbar disc herniation(LDH).Methods:A total of 60 patients with LDH admitted to Shandong Yiyang Health Group Xinwen Central Hospital from February 2021 to February 2024 were selected as the study objects and were divided into a control group and a study group by the random number table method,with 30 cases in each group.The control group was treated with laminectomy for decompression and nucleus pulposus removal,while the study group was treated with transforaminal endoscopic BEIS technique.The surgical conditions,pain degree,lumbar range of motion,degree of intervertebral disc degeneration,the degree of degeneration of the nucleus pulposus and the occurrence of complications of the two groups were compared.Results:The operation time and hospital stay of the study group were shorter than those of the control group,and the intraoperative blood loss was lower than that of the control group,the differences were statistically significant(P<0.05).24 hours,1 week and 1 month after surgery,the scores of the Pain Visual Analogue Scale in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).6 months after surgery,the lumbar range of motion in all directions of the study group were greater than those of the control group,the intervertebral disc height index and signal intensity ratio were lower than those in the control group,and the intervertebral disc Pfirrmann grade was better than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 10.00%,which was lower than 30.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:The transforaminal endoscopic BEIS technique can reduce the operation time,postoperative hospital stay,intraoperative blood loss of patients with LDH,alleviate pain,improve the range of motion of the lumbar vertebrae,delay intervertebral disc nucleus pulposus degeneration,and reduce the incidence of postoperative complications.
马红林;王峰
山东颐养健康集团新汶中心医院骨科,山东 泰安 271000山东颐养健康集团新汶中心医院骨科,山东 泰安 271000
医药卫生
腰椎间盘突出症椎间孔镜BEIS技术疗效分析
Lumbar disc herniationTransforaminal endoscopic BEIS techniqueTherapeutic effect analysis
《中国伤残医学》 2025 (10)
19-23,27,6
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