椎间孔镜微创手术治疗腰椎间盘突出感染患者的疗效分析

Transforaminal endoscopic minimally invasive surgical treatment of lumbar disc herniation in patients with postoperative infection

  • 摘要: 目的 探讨椎间孔镜微创手术治疗腰椎间盘突出患者的效果,并对患者的康复情况进行分析。方法 选取医院2012年4月-2013年10月收治的腰椎间盘突出感染患者60例为研究对象,随机分为观察组和对照组,每组30例,观察组患者采用椎间孔镜微创手术治疗,对照组采用普通开放手术治疗,比较两组患者的各临床指标、生活质量及治疗效果。结果 经过治疗后,观察组患者的疼痛评分显著低于对照组,差异有统计学意义(P<0.05);观察组在治疗后臀部麻木、下肢麻木、下肢萎缩、直腿抬高4个方面积分明显降低,与同组治疗前、对照后相比,差异有统计学意义(P<0.05);观察组患者相关生活质量的指标评分均高于对照组,差异有统计学意义(P<0.05);观察组患者的临床治疗有效率(93.4%)明显优于对照组(60.0%),差异有统计学意义(P<0.05)。<目的 腰椎间盘突出感染患者采用椎间孔镜微创手术治疗效果优于普通开放手术,能改善患者的症状水平和生活质量。

     

    Abstract: OBJECTIVE To study transforaminal endoscopic minimally invasive surgical treatment of lumbar disc herniation in patients with postoperative infection, and analyze the rehabilitation situations. METHODS A total of 60 cases of patients with lumbar disc herniation who came to our hospital from Apr.2012 to Oct. 2013 were selected for the study, and were randomly divided into observation group and control group, with 30 cases in each group. The observation group were treated with transforaminal mirror minimally invasive surgery, control group with common open surgery, and the patient's clinical parameters, quality of life and treatment efficacy were compared. RESULTS The level of pain scores of patients in observation group was significantly lower than that in control group(P<0.05). The scores of buttocks numbness, lower limb numbness, lower limb atrophy and leg raising of observation group were significantly declined(P<0.05). The indicators of quality of life of observation group were significantly higher than those of control group(P<0.05). The clinical treatment effectiveness of observation group(93.4%) was better than that of control group (60.0%)(P<0.05). CONCLUSION Minimally invasive surgical treatment of lumbar disc herniation patients are better than the general open surgery, and it can lower infection rate and improve the level of symptoms and quality of life of patients.

     

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