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| Effect of percutaneous endoscopic lumbar discectomy of ODI, good rate of MacNab and Lehmann lumbar function in patients with single-stage lumbar disc herniation |
| MI Panpan1 CHEN Shengle1 XU Yafang2 FAN Guofeng1▲ |
1.Department of Orthopedics, China National Petroleum Corporation Central Hospital, Hebei Province, Langfang 065000, China;
2.Department of Radiology, China National Petroleum Corporation Central Hospital, Hebei Province, Langfang 065000, China |
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Abstract Objective To observe the clinical effect of percutaneous lumbar intervertebral disc resection in the treatment of patients with single-stage lumbar disc herniation and the clinical outcome of Oswestry disability index (ODI), good rate of MacNab and Lehmann lumbar function. Methods From January 2015 to April 2016, 102 patients with single-stage lumbar disc herniation in China National Petroleum Corporation Central Hospital were selected and divided into observation group and control group by random number table, with 51 patients in each group. The control group was treated with standard posterior push plate lumbar disc resection, while the observation group was treated with percutaneous intervertebral disc resection. The ODI, good rate of MacNab, Lehmann lumbar function between two groups after operation were compared. Results After operation, ODI in the observation group was lower than that in the control group, and the good rate of MacNab and Lehmann lumbar function in the observation group were better than those in the control group, with statistically significant difference (P < 0.05). Conclusion The treatment of single-stage lumbar disc herniation by percutaneous intervertebral disc resection can reduce the amount of bleeding in operation, decrease the incision of the operation, shorten the hospitalization time, and improve the curative effect and improve quality of life after the operation. Therefore, it is worthy of further clinical promotion.
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[1] 金丹杰，徐南伟，赵国辉，等.经皮椎间孔镜与椎板开窗椎间盘切除术治疗腰椎间盘突出症的前瞻性随机对照研究[J].中国微创外科杂志，2017，17（6）：491-494.
[2] 符祖昶，王清铿，尤瑞金，等.经皮椎间孔镜治疗腰椎间盘突出症的临床效果[J].中国医药导报，2017，14（18）：80-83.
[3] 姜伟.经皮椎间孔镜椎间盘切除术治疗腰椎间盘突出症的护理[J].中国伤残医学，2017，25（6）：58-60.
[4] 吴军，杨成伟，陈亮，等.经皮椎间孔镜技术治疗向上脱出型腰椎间盘突出症的疗效观察[J].中国基层医药，2017， 24（16）：2414-2417.
[5] 任佳彬，韩雪馨，孙兆忠，等.经皮椎间孔镜下与椎板间开窗椎间盘切除术治疗腰椎间盘突出症的Meta分析[J].中国矫形外科杂志，2017，25（3）：236-242.
[6] 祝斌，刘晓光，李水清，等.内镜下无血管间隙减压技术治疗腰椎间盘突出症[J].中国疼痛医学杂志，2017，23（2）：117-121.
[7] 彭爱明，俞勇，刘辉，等.经皮椎间孔内镜下靶向穿刺椎间盘切除术治疗腰椎间盘突出症的效果[J].中国临床保健杂志，2017，20（3）：308-310.
[8] 黄盛昌，吴信波，顾昕，等.经椎间孔入路经皮内窥镜下椎间盘切除术治疗相邻节段退变型腰椎椎间盘突出症[J].脊柱外科杂志，2017，15（3）：161-166.
[9] Pfirrmann CW，Metzdorrf A，Zanetti M，et al. Magnetic resonance classification of lumbar intervertebral dise degeneration [J]. Spine，2001，26（17）：1873-1978.
[10] Macnab I. Negative disc exploration. Ananalysis of the causes of nerve-root involvement in sixty-eight patients [J].J Bone Joint Surg，1971，53（5）：891-903.
[11] 刘宁，陈勤，钟红发，等.经椎间孔镜与椎间盘镜治疗老年腰椎间盘突出症的比较[J].实用骨科杂志，2017，23（4）：342-346.
[12] 蒋健，王业华，王龙，等.经皮椎间孔镜腰椎间盘切除与腰椎后路椎间融合术治疗单节段腰椎间盘突出症疗效比较[J].江苏医药，2017，43（11）：784-786.
[13] 颜洪波.经皮椎间孔镜下行脊柱系统技术治疗腰椎间盘突出症的临床效果[J].临床合理用药杂志，2017，10（18）：137-138.
[14] 耿晓鹏，高升，王霞，等.硬膜外游离型腰椎间盘突出症的手术方式探讨[J].中国矫形外科杂志，2017，25（7）：605-611.
[15] 刘佐忠，黄黎黎，卢旻鹏，等.经椎间孔入路经皮内窥镜下椎间盘切除术治疗脱出型和游离型腰椎椎间盘突出症[J].脊柱外科杂志，2017，15（1）：18-23.
[16] 查圆瑜，杨阳，周逸驰，等.经皮椎间孔镜与Mast Quadrant通道技术治疗腰椎间盘突出症临床疗效比较[J].现代生物医学进展，2017，17（20）：3978-3982.
[17] 刘中涛.经皮椎间孔内窥镜下靶向穿刺椎间盘切除术治疗腰椎间盘突出症[J].中国校医，2017，31（4）：288-289.
[18] 郑剑平，孙春汉，蔡宏华，等.椎间孔镜技术在老年腰椎间盘突出并侧隐窝狭窄中的应用[J].临床与病理杂志，2017，37（1）：5-9.
[19] 王旭翾，毛克亚，王征，等.新型定位板在经椎间孔腰骶神经根封闭术术前定位中的应用[J].中国脊柱脊髓杂志，2017，27（4）：333-338.
[20] 刘红光，吴小涛，黄爱兵，等.经椎间孔内窥镜脊柱系统技术治疗脱垂型腰椎椎间盘突出症[J].脊柱外科杂志，2017，15（4）：223-226，242.
[21] 何升华，彭俊宇，赵祥.经皮椎间孔镜椎间盘切除术治疗腰椎间盘突出症近期疗效观察[J].中国骨伤，2011， 24（1）：72-74. |
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