经皮椎间孔镜腰椎间盘切除术治疗继发性脊柱侧凸与非侧凸腰椎间盘突出症患者的效果比较

Abstract
Figure/Table
References (30)
Related Citation (15)

Download: PDF (691 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the clinical effect of percutaneous endoscopic lumbar discectomy for secondary scoliosis and non-scoliosis lumbar disc herniation. Methods From March 2018 to January 2020, 45 patients with lumbar disc herniation treated by percutaneous endoscopic lumbar discectomy in the First Affiliated Hospital of Hebei University of Chinese Medicine were selected as the research subjects. According to scoliosis, the patients were divided into the scoliosis group (21 cases) and the non-scoliosis group (24 cases). The operation time, intraoperative blood loss, and hospitalization days of the two groups were observed and compared, the incidence of adverse reactions in the two groups was recorded. Visual analogue scale (VAS) score and Oswestry disability index (ODI) were recorded and compared between the two groups before operation and two weeks and six months after operation, and changes of lumbar Cobb angle in scoliosis group were analyzed. Results There were no significant differences in operative time, intraoperative blood loss, and hospitalization days between the two groups (P ＞ 0.05). No serious complications such as neurovascular injury, dural tear, and intervertebral space infection occurred in both groups. VAS score and ODI of waist and leg in both groups at two weeks and six months after operation were lower than those before operation, and VAS score and ODI of waist and leg at six months after operation were lower than those at two weeks after operation, the differences were statistically significant (P ＜ 0.05). There were no significant differences in VAS score and ODI of waist and leg at each time point between the two groups (P ＞ 0.05). Cobb angle in the scoliosis group was lower than that before operation at two weeks and six months after operation, Cobb angle at six months after operation was lower than that at two weeks after operation, the differences were statistically significant (P ＜ 0.05). Conclusion Percutaneous endoscopic lumbar discectomy for the treatment of secondary scoliosis and non-scoliosis lumbar disc herniation has little trauma and fast postoperative recovery. From the short-term observation, similar clinical effects can be obtained, which is worthy of further study.

Key words： Lumber disc herniation Scoliosis Percutaneous endoscopic lumbar discectomy Microtraumatic operation Cobb angle

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	CHEN Baosheng1 TIAN Yafeng2 YANG Gang2 DONG Shaoyang1 YANG Mingshuai2 ZHANG Yili1 XUE Pengyu1 FAN Jinrui1

Cite this article:

CHEN Baosheng1 TIAN Yafeng2 YANG Gang2 DONG Shaoyang1 YANG Mingshuai2 ZHANG Yili1 XUE Pengyu1 FAN Jinrui1. Comparison of percutaneous endoscopic lumbar discectomy in the treatment of secondary scoliosis and non-scoliosis lumbar disc herniation[J]. 中国医药导报, 2022, 19(21): 78-82.

URL:

https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I21/78

[1] Diego M. Upper body and lower limbs musculoskeletal symptoms and health inequalities in Europe：an analysis of cross-sectional data [J]. Bio Med Central，2014，15（1）：285.
[2] Matsui H，Ohmori K，Kanamori M，et al. Significance of sciatic scoliotic list in operated patients with lumbar disc herniation [J]. Spine，1998，23（3）：338-342.
[3] 谢建新，吴冰，周明弟，等.两种方法治疗腰椎间盘突出症的疗效比较[J].临床骨科杂志，2021，24（2）：184-187.
[4] Kim H，Kim HS，Moon ES，et al. Scoliosis imaging：what radiologists should know [J]. Radiographics，2010，30（7）：1823-1842.
[5] 林路，柯珍勇，汪洋，等.围手术期不同抗生素使用时长对预防脊柱手术部位感染有效性的网状Meta分析[J].中国脊柱脊髓杂志，2020，30（10）：9.
[6] Faiz KW. VAS——visuell analog skala [J]. Tidsskr Nor Laegeforen，2014，134（3）：323.
[7] Fairbank JC，Pynsent PB. The Oswestry Disability Index [J]. Spine（Phila Pa 1976），2000，25（22）：2940-295.
[8] Gross JB. Estimating allowable blood loss：corrected for dilution [J]. Anesthesiology，1983，58（3）：277-280.
[9] Diebo B，Shah N，Boachie-Adjei O，et al. Adult spinal deformity [J]. The Lancet，2019，394（10193）：160-172.
[10] Suk KS，Lee HM，Moon SH，et al. Lumbosacral Scoliotic List by Lumbar Disc Herniation [J]. Spine，2001，26（6）：667-671.
[11] Kim R，Kim RH，Chi HK，et al. The Incidence and Risk Factors for Lumbar or Sciatic Scoliosis in Lumbar Disc Herniation and the Outcomes after Percutaneous Endoscopic Discectomy [J]. Pain Physician，2015，18（6）：555.
[12] Yamada K，Nakamae T，Nakanishi K，et al. Long-term outcome of targeted therapy for low back pain in elderly degenerative lumbar scoliosis [J]. Eur Spine J，2021，30（7）：2020-2032.
[13] Zhu Z，Zhao Q，Wang B，et al. Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation：its curve pattern and natural history after lumbar discectomy [J]. BMC Musculoskeletal Disorders，2011，12（1）：216.
[14] 朱广铎，镐英杰，于磊，等.腰椎间盘突出伴与不伴继发脊柱侧凸手术前后比较[J].中国矫外科杂志，2020，28（19）：1738-1743.
[15] 梁彦，赵永飞，朱震奇，等.微创经椎间孔腰椎椎体间融合固定治疗椎间盘源性脊柱侧凸：冠状面和矢状面平衡的2年随访[J].中国组织工程研究，2021，25（3）：87-91.
[16] 马俊，席焱海，叶晓健.腰椎融合术后邻近节段退变再手术策略的研究进展[J].中国脊柱脊髓杂志，2016，26（11）：1047-1050.
[17] Lee CH，Kim YE，Lee HJ，et al. Biomechanical effects of hybrid stabilization on the risk of proximal adjacent-segment degeneration following lumbar spinal fusion using an interspinous device or a pedicle screw-based dynamic fixator [J]. J Neurosurg Spine，2017，27（6）：643-649.
[18] Choi KC，Kim JS，Park CK. Percutaneous Endoscopic Lumbar Discectomy as an Alternative to Open Lumbar Microdiscectomy for Large Lumbar Disc Herniation [J]. Pain physician，2016，19（2）：E291-E300.
[19] Koichi S，Hiroshi E，Tetsuya M，et al. State of the Art：Transforaminal Approach for Percutaneous Endoscopic Lumbar Discectomy under Local Anesthesia [J]. J Med Invest，2014，61（3/4）：217-225.
[20] Birkenmaier C，Komp M，Leu HF，et al. The current state of endoscopic disc surgery：review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures [J]. Pain Physician，1900，16（4）：335-344.
[21] Ruetten S，Komp M，Merk H，et al. Full-Endoscopic Interlaminar and Transforaminal Lumbar Discectomy Versus Conventional Microsurgical Technique：A Prospective，Randomized，Controlled Study [J]. Spine（Phila Pa 1976），2008，33（9）：931-939.
[22] 孙建民，丁永国，李昌隆，等.经皮脊柱内镜下腰椎间盘切除术后复发因素及治疗方案[J].中国疼痛医学杂志，2020，26（5）：362-367.
[23] 文猛，魏腾飞，万云峰，等.腰椎间盘突出症患者椎间孔镜术后复发因素的病例对照研究[J].中国医药科学，2020， 10（2）：15-18，22.
[24] Yin S，Du H，Yang W，et al. Prevalence of Recurrent Herniation Following Percutaneous Endoscopic Lumbar Discectomy：A Meta-Analysis [J]. Pain Physician，2018， 21（4）：337-350.
[25] 王睿娴，田心毅，占恭豪，等.经皮脊柱内镜下椎间盘切除术治疗腰椎间盘突出症1年疗效随访研究[J].中国疼痛医学杂志，2019，25（8）：603-607.
[26] 林建.经皮椎间孔镜技术在腰椎间盘突出症患者中的应用效果研究[J].中国医药科学，2022，12（4）：173-175， 189.
[27] 朱灏，刘波，张华溢，等.经皮椎间孔镜与椎间盘镜髓核摘除术治疗腰椎间盘突出症的疗效及复发影响因素分析[J].河北医学，2021，27（3）：429-436.
[28] Chumnanvej S，Kesornsak W，Sarnvivad P，et al. Full endoscopic lumbar discectomy via interlaminar approach：2-year results in Ramathibodi Hospital [J]. J Med Assoc Thai，2011，94（12）：1465-1470.
[29] Chang HK，Chang HC，Wu JC，et al. Scoliosis may increase the risk of recurrence of lumbar disc herniation after microdiscectomy [J]. J Neurosurg Spine，2016，24（4）：586-591.
[30] Tu Z，Bing W，Lei L，et al. Early Experience of Full-Endoscopic Interlaminar Discectomy for Adolescent Lumbar Disc Herniation with Sciatic Scoliosis [J]. Pain physician，2018，21（1）：E63-E70.