| 王学志,于勇华,肖人洪.TPELD和LLE治疗腰椎管狭窄的疗效观察.[J].中南医学科学杂志.,2024,(4):642-644, 648. |
| TPELD和LLE治疗腰椎管狭窄的疗效观察 |
| Observation of the therapeutic effect of TPELD and LLE in the treatment of LSS |
| 投稿时间：2023-07-27 修订日期：2024-05-17 |
| DOI：10.15972/j.cnki.43-1509/r.2024.04.035 |
| 中文关键词: TPELD LLE 疗效 |
| 英文关键词:TPELD LLE therapeutic effect |
| 基金项目:宜宾市科技计划项目(2018SF011) |
|
| 摘要点击次数: 103 |
| 全文下载次数: 115 |
| 中文摘要: |
| 目的观察经皮椎间孔镜下腰椎椎间盘切除术(TPELD)和腰椎椎板切除术(LLE)治疗腰椎管狭窄(LSS)的疗效。 方法选择LSS患者208例,根据治疗方式分为TPELD组和LLE组。比较两组手术时间、术中出血量、术中引流量、术后卧床时间及治疗总有效率,以及随访2个月、1年后Oswestry功能障碍指数(ODI)评分、视觉模拟评分量表(VAS)评分及椎管矢状径、椎间隙高度。 结果TPELD组手术时间、术中出血量、术中引流量、术后卧床时间低于LLE组(P＜0.05)。与术前比较,术后两组椎管矢状径、椎间隙高度均升高,ODI评分、VAS评分均降低,同组术后1年较术后2月更为显著,术后2月TPELD组较LLE组更为显著(P＜0.05),但术后1年上述指标两组比较差异无显著性(P＞0.05)。两组治疗总有效率差异无显著性(P＞0.05)。 结论TPELD和LLE治疗椎间管狭窄均疗效良好,但TPELD创伤小,恢复快,值得临床推荐。 |
| 英文摘要: |
| AimTo observe the therapeutic effects of transforaminal percutaneous endoscopic lumbar discectomy (TPELD) and lumbar laminectomy (LLE) in the treatment of lumbar spinal stenosis (LSS). Methods208 LSS patients were selected and divided into TPELD group and LLE group according to the treatment method. The surgical time, intraoperative blood loss, intraoperative drainage, postoperative bed rest time, and total effective rate of treatment between two groups, as well as the Oswestry dysfunction index (ODI) score, visual analog scale (VAS) score, sagittal diameter of the spinal canal, and intervertebral space height at 2-month and 1-year follow-up, were compared. ResultsThe TPELD group had lower surgical time, intraoperative bleeding volume, intraoperative drainage volume, and postoperative bed rest time compared with the LLE group (P＜0.05). Compared with the situations before operation, the sagittal diameter of the spinal canal and the height of the intervertebral space in both groups were increased after surgery, while the ODI score and VAS score were decreased. The patient in same group had a significant difference 1 year after surgery compared with the situations 2 months after surgery, and 2 months after surgery, the TPELD group had a significant difference compared with the LLE group (P＜0.05). However, there was no significant difference in the above indicators between the two groups (P＞0.05). There was no significant difference in the total effective rate between the two groups (P＞0.05). ConclusionBoth TPELD and LLE have good therapeutic effects on intervertebral canal stenosis, but TPELD has small trauma and fast recovery, making it worthy of clinical recommendation. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|