改良椎间孔镜手术治疗对腰椎间盘突出症患者疗效、手术结局及预后的影响

doi:10.3969/j.issn.2095-378X.2020.03.005

Abstract

Abstract: Objective To explore the effects of one-step foraminoplasty technique with a Kirschner wire-guided large-diameter circular saw on lumbar disc herniation. Methods Sixty patients with lumbar disc herniation treated from January 2017 to December 2019 were selected and randomly divided into an experimental group and a control group. The experimental group was treated by one-step foraminoplasty technique with a Kirschner wire-guided large-diameter circular saw, and the control group was treated by conventional green, yellow, and red circular saws to enlarge the intervertebral foramen in turn. The time of intervertebral foramen forming, number of fluoroscopy, operation time, and visual analogue score before and after the operation, and treatment effect of the two groups were observed and recorded. Results The experimental group showed shorter intervertebral foramen forming time, smaller number of fluoroscopy, and less operation time than the control group did （P<0.05）. There were no significant differences in postoperative visual analogue score, treatment efficacy rate, and complications between the two groups （P>0.05）. Conclusion The one-step foraminoplasty with Kirschner wire-guided large-diameter circular saw is effective in the treatment of lumbar disc herniation. It can reduce the forming time of intervertebral foramen and the operation time of patients, and is worthy of promotion in clinical treatment.

Key words: Kirschner wire, modified foraminal surgery, Lumbar disc herniation, clinical efficacy, surgical outcome, prognosis

CLC Number:

R615

LIU Jianxin, WANG Zheng, LI Jian. Efficacy, surgical outcome, and prognosis of patients with lumbar disc herniation after modified foraminoplasty[J]. Surgical Research and New Technique, 2020, 9(3): 166-169.

References

[1] 孟志强,吴若丹,白云鹤,等.经皮椎间孔镜技术治疗老年性腰椎间盘突出合并腰椎管狭窄效果研究[J].白求恩医学杂志,2017,15(6):787-789.
[2] 杜兵. 对用经皮椎间孔镜下腰椎间盘摘除术治疗腰椎间盘突出症时影响疗效因素的分析[J].当代医药论丛,2019,17(16):86-87.
[3] 孔祥泉,黎全猛,罗雨桥,等.椎间孔镜下腰椎间盘髓核摘除术治疗腰椎间盘突出症临床研究[J].深圳中西医结合杂志,2018,28(13):52-53.
[4] 肖东波. 椎间孔镜技术与骨科开放手术治疗腰椎间盘突出并腰椎管狭窄症的临床效果[J].临床医学研究与实践,2019,7(9):70-72.
[5] 张岚,田翠霞,张苏娟.综合性护理干预联合舒适性护理在经皮椎间孔镜治疗腰椎间盘突出症中的应用[J].检验医学与临床,2017,14(24):3668-3670.
[6] 张昌盛,孔凡国,潘其鹏,等.椎间盘镜手术和经皮椎间孔镜手术治疗腰椎间盘突出症患者的临床疗效分析[J].四川解剖学杂志,2019,11(3):1232-1235.
[7] 王立飞,孙永进,杨祖华.可视化椎间孔成形系统辅助下的椎间孔镜手术治疗腰椎间盘突出症的疗效[J].安徽医学,2018,39(9):1432-1436.
[8] 刘磊,李业成,刘守正,等.椎间孔入路与椎板间入路经皮椎间孔镜手术治疗单节段腰椎间盘突出症的疗效比较[J].中国骨与关节损伤杂志,2019,34(5):460-463.
[9] 蒋静华,龙芳,郝敏,等.医护一体化在椎间孔镜治疗腰椎间盘突出症患者围手术期中的应用效果[J].临床医学研究与实践,2019,11(17):180-182.
[10] 杨秀. 优质护理在椎间孔镜下腰椎间盘突出髓核摘除术中的应用及对护理满意度影响分析[J].当代护士(上旬刊),2019,23(7):345-347.
[11] 李娟,孙志涛,魏薇.阶梯式康复护理干预在经皮椎间孔镜治疗腰椎间盘突出症中的应用效果观察[J].中国现代药物应用,2019,11(15):209-210.
[12] 常张锋,苗生亮,冯晋鹏,等.椎间孔镜与小切口手术治疗腰椎间盘突出症的临床效果对比分析[J].临床医药文献电子杂志,2017,4(98):287-290.
[13] 何玉宝,徐林,任龙喜,等.糖尿病对腰椎间盘突出症经皮椎间孔镜下椎间盘切除术后疗效的影响[J].国际外科学杂志,2019,46(3):176-181.
[14] 王翀,姜飞,宋兴华,等.经皮椎间孔镜TESSYS技术与开放手术治疗腰椎间盘突出症疗效及安全性比较[J].新疆医科大学学报,2017,40(10):1288-1292.
[15] 韩俊杰. 经皮椎间孔镜与单纯椎板开窗术对腰椎间盘突出症的应用价值比较[J].国际医药卫生导报,2018,24(13):2034-2036.

Efficacy, surgical outcome, and prognosis of patients with lumbar disc herniation after modified foraminoplasty

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments

[1]	LU Xiaoliang, WU Bin, CHEN Keji, LI Aijun, FAN Fei. Expression of S100A7 in intrahepatic cholangiocarcinoma and its clinical significance [J]. Surgical Research and New Technique, 2021, 10(1): 4-8.
[2]	JI Xubiao, JIANG Xiaojun, YUN Chengming, LI Xiaolong. Clinical application of tranexamic acid injection combined with absorbable gelatin sponge in lumbar spine surgery [J]. Surgical Research and New Technique, 2021, 10(1): 22-26.
[3]	YAN Hailan. Effect of NOSES on left colon cancer and risk factors affecting prognosis [J]. Surgical Research and New Technique, 2020, 9(4): 228-230.
[4]	ZHOU Canhuan, LI Hongquan, LI Li, TAN Chaohua. Relationship between clinicopathologic features and prognosis of breast phyllodes tumor [J]. Surgical Research and New Technique, 2020, 9(4): 231-233.
[5]	JIN Hailong, WU Biao, ZHANG Yi. Influences of different local regional recurrence on prognosis of breast cancer patients after surgery [J]. Surgical Research and New Technique, 2020, 9(3): 149-153.
[6]	LIU Xiaoming, HU Yaohua, TANG Shibin, LUO Zhiquan. Clinical study on reconstruction of metacarpophalangeal joint defect with semi-hook carpometacarpal joint surface transplantation [J]. Surgical Research and New Technique, 2019, 8(4): 230-233.
[7]	LI Liu, YANG Xueying, LYU Yuhong. Application of WeChat platform in family nursing of elderly patients with hip fracture [J]. Surgical Research and New Technique, 2019, 8(4): 291-294.
[8]	HE Xue, YIN Peihao. Clinical value of General serum miR-21 detection in patients with colorectal cancer [J]. Surgical Research and New Technique, 2019, 8(1): 1-3.
[9]	ZHANG Yangyang, SHAN Lingtong, PU Yiwei, LI Wangying, YAO Zhijian, GE Wen. Comparison of thoracic and transabdominal approches for the treatment of esophageal hiatal hernia [J]. Surgical Research and New Technique, 2017, 6(3): 165-168.
[10]	. Clinical analysis of benign prostatic hyperplasia and bladder stone surgery earlier [J]. Surgical Research and New Technique, 2016, 5(4): 261-263.
[11]	. Related factors of vascular tumor embolus in esophageal carcinoma [J]. Surgical Research and New Technique, 2016, 5(2): 108-110.
[12]	. A comparison of the clinical efficacy of LCP and PFNA for surgical treatment of intertrochanteric fractures [J]. Surgical Research and New Technique, 2015, 4(1): 27-29,47.
[13]	Yue-Zu FAN. Insight into diagnosis and treatment of gallbladder cancer from vasculogenic mimicry, a new blood supply for gallbladder cancer [J]. Surgical Research and New Technique, 2014, 3(3): 161-168.
[14]	FAN Yue-zu,SUN Wei,ZHANG Wen-zhong,GE Chun-yan. Expression of matrix metalloproteinase-1 and membrane type-1 matrix metalloproteinase in human primary gallbladder carcinomas withvasculogenic mimicry and its clinical significance [J]. Surgical Research and New Technique, 2014, 3(1): 8-16.
[15]	SUN Wei,FAN Yue-Zu,ZHANG Wen-Zhong,GE Chun-Yan. MMP-2 and MT1-MMP contribute to vasculogenic mimicry and poor prognosis in human primary gallbladder carcinomas [J]. 外科研究与新技术, 2013, 2(2): 73-86.