本文選題：極外側(cè)型腰椎間盤突出癥　切入點(diǎn)：椎間孔鏡　出處：《山東中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:回顧性研究經(jīng)皮椎間孔鏡(BEIS技術(shù))治療極外側(cè)型椎間盤突出癥30例患者的短期臨床療效。為治療極外側(cè)型椎間盤突出癥提供新的思路。方法:統(tǒng)計(jì)山東省中醫(yī)院從2014年12月至2016年09月收治的經(jīng)椎間孔鏡治療的單階段的極外側(cè)椎間盤突出癥患者30例。采用疼痛視覺模擬評分法(Visual Analogue Scale,VAS)、Oswestry功能障礙指數(shù)(Oswestry Disability Index,ODI)評估治療前及治療后即刻、3個月及末次隨訪的治療效果。使用腰椎MacNab法評定末次隨訪時的治療效果,所有數(shù)據(jù)用均數(shù)±標(biāo)準(zhǔn)差(?X±S)表示。應(yīng)用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)處理,將治療前與治療即刻、3個月及末次隨訪的VAS評分、ODI指數(shù)進(jìn)行t檢驗(yàn),如P0.05則無明顯差異,無統(tǒng)計(jì)學(xué)意義,P0.05則有差異,具有統(tǒng)計(jì)學(xué)意義,P0.01則差異顯著,具有統(tǒng)計(jì)學(xué)意義。結(jié)果:(1)末次隨訪時使用腰椎MacNab評定標(biāo)準(zhǔn),優(yōu)良率90%,臨床效果滿意。(2)患者治療后即刻、3個月及末次隨訪的VAS評分、ODI指數(shù),較術(shù)前明顯降低(VAS評分在0-2范圍、ODI指數(shù)在14-20范圍),術(shù)后不同時間點(diǎn)較術(shù)前相比,均有統(tǒng)計(jì)學(xué)差異(p0.05)。結(jié)論:(1)經(jīng)皮椎間孔鏡下髓核摘除術(shù)(BEIS技術(shù))治療單階段的極外側(cè)型腰椎間盤突出癥短期療效可靠;(2)椎間孔鏡(BEIS)技術(shù)創(chuàng)傷小、并發(fā)癥少、術(shù)后臥床時間短,可作為極外側(cè)型腰椎間盤突出癥的治療階梯中的良好方法;(3)椎間孔鏡治療極外側(cè)型腰椎間盤突出癥的中遠(yuǎn)期療效尚需更多數(shù)據(jù)支持。
[Abstract]:Objective: to study the short-term clinical effect of percutaneous foramen endoscopy (BEIS) in the treatment of 30 patients with extreme lateral disc herniation. Methods: to provide a new idea for the treatment of extreme lateral disc herniation in Shandong Province. From December 2014 to September 2016, 30 patients with monolateral disc herniation treated by intervertebral foramen endoscopy were treated in Chinese medicine hospital. Visual Analogue scale scale was used to evaluate Oswestry Disability index (Oswestry index) before treatment. MacNab method was used to evaluate the therapeutic effect of the last follow-up. All data with mean 鹵standard deviation? X 鹵S). Using SPSS17.0 statistical software to process the data, t test the VAS score and ODI index before treatment and immediately after treatment, 3 months and the last follow-up, if P0.05, there was no significant difference, there was no significant difference between the two groups, and there was no significant difference between the two groups. Results: at the last follow-up, the MacNab evaluation standard of lumbar vertebrae was used, the excellent and good rate was 90, the clinical effect was satisfactory, and the VAS scores of the patients were evaluated immediately after treatment, 3 months and at the last follow-up. VAS scores were significantly lower in 0-2 range and ODI index in 14-20 range than before operation, and compared with those before operation at different time points after operation. Conclusion Percutaneous transforaminal discectomy (BEIS) is effective and reliable in the treatment of single stage ultralateral lumbar disc herniation. (Beis) has less trauma, less complications and shorter bed-rest time after operation. It can be used as a good method in the treatment of extreme lateral lumbar disc herniation. (3) the medium and long term effect of intervertebral foramen in the treatment of extreme lateral lumbar disc herniation needs more data support.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R687.3

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