经皮脊柱内窥镜不同入路下L4/5椎间盘突出症的疗效观察

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Abstract ObjectiveTo explore the efficacy of L4/5 protrusion of intervertebral disc under different approaches of percutaneous spinal endoscope.M ethodsFrom April to October in 2016,60 patients with L4/5 protrusion of intervertebral disc treated in our hospitalwere slected as the objects.According to odd or even number,all patientswere evenly divided into the intervertebral foramen group(n=30)and the intervertebral plate group(n=30).In the intervertebral foramen group,percutaneous endoscopic laser-assisted discectomy(PELD)via the approach of foramen intervertebrale was used,while in the intervertebral plate group,PELD via the approach of intervertebral platewas adopted.The clinical therapeutic effect in the two groups was compared.ResultsThe VAS score in the foramen intervertebrale group and intervertebral plate group was not displayed statistical difference just after surgery or threemonths after surgery(P＞0.05).The excellent and good rate in the foramen intervertebral group was 66.67%,which wasmuch lower than that in the intervertebral plate group accounting for 90.00%,with significant difference (P＜0.05).The scoring of OsweStry disability index including leg pain or lumbar and back pain,sleeping,walking,and social activities was not displayed statistical significance in the two groups(P＞0.05).ConclusionUnder percutaneous spinal endoscope,performance of intervertebral foramen approach or intervertebral plate approach in patients with L4/5 protrusion of intervertebral disc can obtain a remarkable effect by improving patient′s suffering,which isworthy of extensive application in clinic.

Key words： Protrusion of intervertebral disc Intervertebral plate approach Percutaneous spinal endoscope Intervertebral foramen approach

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	LIU Yong
	LIJin-hai
	ZHONGQiong
	WEIJun

Cite this article:

LIU Yong,LIJin-hai,ZHONGQiong, et al. Effect observation of L4/5 protrusion of intervertebral disc under different approaches of percutaneous spinal endoscope[J]. 中国当代医药, 2017, 24(22): 66-68.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I22/66

[1]	查圆瑜，金伟，张树威，等.经皮椎间孔入路与椎板间入路脊柱内镜下髓核摘除术治疗L5/S1椎间盘突出症的疗效分析[J].生物骨科材料与临床研究，2017，14（1）：64-68.
[2]	郭跃成，柳百炼，肖伟平，等.经皮脊柱内窥镜下腰椎间盘摘除术治疗腰4/5椎间盘突出症[J].昆明医科大学学报，2016，37（4）：58-61.
[3]	卢吉平，宾捷，张国民，等.经皮内镜下椎板间入路结合射频消融技术治疗L5/S1椎间盘突出症[J].医学临床研究，2013，30（7）：1327-1330.
[4]	吴信波，范国鑫，管晓菲，等.经椎间孔入路经皮内窥镜下腰椎椎间盘切除术治疗高位腰椎椎间盘突出症[J].脊柱外科杂志，2016，14（5）：371-375.
[5]	高浩然，周程沛，高全有，等.侧后方入路经皮内镜下治疗不同类型腰椎间盘突出症[J].中华全科医学，2015，13（4）：547-549.
[6]	方卫军，李章华.经皮椎间孔镜技术治疗腰椎间盘突症的进展[J].中国医药导报，2016，13（32）：34-37.
[7]	聂鸿飞，曾建成，宋跃明，等.经皮椎板间入路与经皮椎间孔入路内窥镜下椎间盘切除术治疗L5/S1椎间盘突出症的短期疗效比较[J].中国脊柱脊髓杂志，2016，26（3）：225-232.
[8]	吕宏，孔金海，钟南哲，等.经椎间孔入路经皮内窥镜下椎间盘切除术治疗腰椎椎间盘突出症[J].脊柱外科杂志，2015，13（6）：373-376.
[9]	汤勇智，王贵清，利洪艺，等.经皮微创治疗腰5-骶1椎间盘突出症入路选择[J].颈腰痛杂志，2016，37（1）：32-34.
[10]	廖忠，陈伟，王朝晖，等.Joimax椎间孔镜治疗L5/S1椎间盘突出症的手术入路选择[J].中国内镜杂志，2015，21（4）：360-363.
[11]	陈锦旭，张西峰，黄鹏，等.经皮椎间孔镜治疗 L4～5与L5～S1椎间盘突出症的对比研究[J].颈腰痛杂志，2016，37（4）：281-284.
[12]	冯居平，杨娜，曲良烨，等.不同入路方式在椎间孔镜治疗腰椎间盘突出症中的应用分析[J].中国实用医刊，2016，43（24）：93-94.
[13]	徐兆万，吴沁民，戴伟华，等.Wiltse入路治疗硬化性胸腰段椎间盘突出症的临床研究[J].中华临床医师杂志（电子版），2015，9（2）：231-234.
[14]	许立臣，胡大鹏，于一民，等.Modic改变腰椎间盘突出症MED与附加椎间融合的疗效对比[J].中外医学研究，2013，11（16）：14-15.
[15]	滑国田.脊柱内镜下椎板间隙入路治疗L5/S1椎间盘突出症[J].中国实用医药，2016，11（12）：70-71.