显微内窥镜下单侧入路椎管扩大成形术治疗退变性腰椎管狭窄症的临床疗效研究

摘要

Objective:To investigate the clinical effect of unilateral approach spinal canal enlargement angioplasty in the treatment of degenerative lumbar spinal stenosis under endoscopy. Methods: 100 patients with degenerative lumbar spinal stenosis admitted from January 2014 to December 2016 were randomly divided into two groups.Patients in the control group were given non-surgical symptomatic treatment,while patients in the experimental group were treated with microscopic endoscopy spinal canal enlargement angioplasty. pain, lumbar function,neurological function recovery,disease-related parameters and quality of life were compared between the two groups. Results:The JOA score,ASIA score,FIM score,lordosis angle,lumbosacral angle, distance traveled,intervertebral space height,spinal canal sagittal diameter,physiological function and other quality of life indicators and overall health score were significantly higher in the operation group. The ODI score of the operation group was significantly lower than that of the control group,there was a significant differ-ence (P <0.05). Conclusion:The clinical effect of unilateral approach spinal canal enlargement angioplasty under the endoscope for the treatment of degenerative lumbar spinal stenosis is significant and has reference value.%目的:探讨显微内窥镜下单侧入路椎管扩大成形术治疗退变性腰椎管狭窄症的临床疗效.方法:收集2014年1月至2016年12月入院的100例退变性腰椎管狭窄症患者随机分为两组,对照组患者给予非手术对症治疗,实验组患者则给予显微内窥镜下单侧入路椎管扩大成形术,比较两组患者疼痛、腰椎功能、神经功能恢复、疾病相关参数与生活质量.结果:手术组患者治疗后JOA评分、ASIA评分、FIM评分、前凸角、腰骶角、行走距离、椎间隙高度、椎管矢状径、生理功能等各项生活质量指标及总体健康评分显著性高于对照组,手术组患者的ODI评分显著性低于对照组,差异有统计学意义(P<0.05).结论:显微内窥镜下单侧入路椎管扩大成形术治疗退变性腰椎管狭窄症的临床疗效显著,具有借鉴意义.