椎间孔镜宽视野简易即刻手术与经皮椎间孔入路椎间孔镜系统技术治疗腰椎间盘突出症患者的效果OA
Comparison of clinical efficacy between the broad easy immediate surgery technique and the transforaminal endoscopic spine system in patients with lumbar disc herniation
目的 研究椎间孔镜宽视野简易即刻手术(BEIS)与经皮椎间孔入路椎间孔镜系统(TESSYS)技术治疗腰椎间盘突出症患者的影响.方法 选取 2022 年 8 月至 2025 年 8 月牡丹江医科大学附属红旗医院收治的 100 例腰椎间盘突出症患者作为研究对象,采用抽签法分为对照组(50 例)和观察组(50 例).对照组采用 TESSYS 技术,观察组采用 BEIS 技术.比较两组治疗效果及临床指标变化,两组治疗前后腰椎生理参数、疼痛介质、炎症因子水平、疼痛评分及腰椎功能评分、术后并发症发生情况.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P＜0.05);观察组手术时间、术后卧床时间均短于对照组,术中出血量少于对照组,切口长度短于对照组,差异有统计学意义(P＜0.05);治疗后,观察组腰椎生理参数高于对照组,炎症因子水平低于对照组,差异有统计学意义(P＜0.05);治疗后,观察组视觉模拟评分法(VAS)、Oswestry 功能障碍量表(ODI)评分低于对照组,差异有统计学意义(P＜0.05);观察组术后并发症总发生率低于对照组,差异有统计学意义(P＜0.05).结论 腰椎间盘突出症患者采用椎间孔镜 BEIS技术效果显著,可以改善腰椎功能,改善疼痛感,降低炎症反应.
Objective To investigate the comparison of clinical efficacy between the broad easy immediate surgery(BEIS)technique and the transforaminal endoscopic spine system(TESSYS)in patients with lumbar disc herniation.Methods A total of 100 patients with lumbar disc herniation who were admitted to Hongqi Hospital Affiliated to Mudanjiang Medical University from August 2022 to August 2025 were selected as the study subjects,and they were divided into the control group(50 cases)and the observation group(50 cases)by lottery.The control group received TESSYS technology,while the observation group received BEIS technology.The two groups were compared in terms of treatment outcomes,changes in clinical indicators,lumbar physiological parameters before and after treatment,pain mediator and inflammatory factor levels,pain scores,lumbar function scores,and the incidence of postoperative complications.Results The tota l effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).The operative time and postoperative bed rest time in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,and incision length was shorter than that in the control group,with statistically significant differences(P＜0.05).After treatment,the lumbar physiological parameters in the observation group were higher than those in the control group,while the levels of inflammatory factors were lower than those in th e control group,and the differences were statistically significant(P＜0.05).After treatment,the vi-sual analogue scale(VAS)and Oswestry disability index(ODI)scores in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion Patients with lumbar intervertebral disc protrusion have achieved remarkable results by using the intervertebral foramen endoscopic BEIS technique.This method can improve the function of the lumbar spine,alleviate pain,and reduce inflammatory responses.
李海龙;张沛宇;刘可鑫
牡丹江医科大学附属红旗医院骨外科,黑龙江 牡丹江 157000牡丹江医科大学附属红旗医院骨外科,黑龙江 牡丹江 157000牡丹江医科大学附属红旗医院骨外科,黑龙江 牡丹江 157000
医药卫生
椎间孔镜宽视野简易即刻手术经皮椎间孔入路椎间孔镜系统技术腰椎间盘突出症腰椎功能疼痛介质炎症反应
Intervertebral foramen endoscopeBroad easy immediate surgeryTransforaminal endoscopic spine systemLumbar disc herniationLumbar spine functionPain mediatorsInflammatory response
《中国当代医药》 2026 (12)
39-43,5
黑龙江省省属高等学校基本科研业务费科研项目(2024-KYYWF-0527).
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