| 胡晓音,陈康武.PTED后纤维环缝合修复治疗老年腰椎间盘突出症疗效分析.[J].中南医学科学杂志.,2024,(2):282-285. |
| PTED后纤维环缝合修复治疗老年腰椎间盘突出症疗效分析 |
| Analysis of the therapeutic effect of fiber ring suture repair after PTED on elderly lumbar disc herniation |
| 投稿时间：2023-07-05 修订日期：2024-01-28 |
| DOI：10.15972/j.cnki.43-1509/r.2024.02.032 |
| 中文关键词: 腰椎间盘突出症 PTED 纤维环缝合修复 老年 [ |
| 英文关键词:lumbar disc herniation PTED fibrous ring suture repair old age |
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| 中文摘要: |
| 目的分析经皮椎间孔镜下髓核摘除术(PTED)后纤维环缝合修复治疗老年腰椎间盘突出症的疗效。 方法选取老年腰椎间盘突出症患者80例,随机均分为对照组(PTED)和观察组(PTED+纤维环缝合修复)。比较两组临床疗效、手术相关指标、腰椎功能、疼痛程度、生活质量、日常生活能力、预后不良事件。 结果两组治疗有效率、手术时间、住院时间、术中出血量、切口长度比较,差异无显著性(P＞0.05)。观察组术后复发率明显低于对照组(P＜0.05)。与术前比较,术后两组日本骨科学会腰痛疾患评定量表评分、视觉疼痛评分量表评分、Oswestry功能障碍指数、改良Barthel指数、健康调查简表评分均得到改善,但两组间比较差异无显著性(P＞0.05)。 结论PTED后纤维环缝合修复治疗老年腰椎间盘突出症疗效满意,且可有效降低患者术后复发率。 |
| 英文摘要: |
| AimTo analyze the therapeutic effect of percutaneous transforaminal endoscopic discectomy (PTED) followed by fibrous ring suture repair for the treatment of elderly lumbar disc herniation. Methods80 elderly patients with lumbar disc herniation were selected and randomly divided into a control group (PTED) and an observation group (PTED+fiber ring suture repair). The clinical efficacy, surgical related indicators, lumbar spine function, degree of pain, quality of life, daily living ability, and adverse prognosis events in these two groups were compared. ResultsThere was no significant difference between the two groups in terms of treatment effectiveness, surgical time, hospital stay, intraoperative bleeding volume, and incision length (P＞0.05). The postoperative recurrence rate in the observation group was significantly lower than that in the control group (P＜0.05).Compared with preoperative results, postoperative improvements were observed in terms of the scores of the Japanese orthopedic society's lumbar pain assessment scale, visual pain scale, Oswestry dysfunction index, modified Barthel index, and health survey brief scale between the two groups, but there was no significant difference between the two groups (P＜0.05). ConclusionThe therapeutic effect of fiber ring suture repair after PTED on elderly lumbar disc herniation is satisfactory, and it can effectively reduce the postoperative recurrence rate of patients. |
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