不同手术方式治疗老年腰椎间盘突出症患者的疗效对比<sup>*</sup>

doi:10.3969/j.issn.1671-7171.2025.03.001

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摘要【目的】对比脊柱内镜手术和经皮穿刺手术治疗老年腰椎间盘突出症(lumbar disc herniation,LDH)患者的临床效果。【方法】选取2023年1月至2024年1月在本院接受手术治疗的100例LDH患者,按照治疗方式的不同分为对照组(采用经皮穿刺手术)和观察组(采用脊柱内镜手术),每组50例。比较两组疗效优良率及治疗前后视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、生活质量和心理状态评分。【结果】治疗后3个月及末次随访时,观察组腰痛VAS评分、下肢痛VAS评分、ODI评分均低于对照组(P<0.05);治疗后,观察组的疗效优良率为92.00%(46/50),明显高于对照组的72.00%(36/50),差异有统计学意义(P<0.05);治疗后,观察组生活质量评分高于对照组,焦虑自评量表(SAS)、抑郁自评量表(SDS) 评分低于对照组,差异均有统计学意义(P<0.05)。【结论】与经皮穿刺手术相比,经脊柱内镜手术治疗LDH患者效果显著,可显著改善老年患者的疼痛症状和不良情绪,提升患者生活质量,但在手术方式选择上,应根据患者具体情况,选择适合患者的最佳术式。

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	马红娜
	王晓玲
	谭璐
	申明奎

关键词 ：腰椎, 椎间盘移位, 椎间盘切除术,经皮, 治疗结果

Abstract：【Objective】 To compare the therapeutic effect of Lumbar endoscopic surgery and percutaneous puncture surgery in elderly patients with Lumbar disc herniation (LDH). 【Methods】A total of 100 LDH patients who received surgical treatment in our hospital from January 2023 to January 2024 were selected and divided into control group (percutaneous puncture surgery) and observation group (lumbar endoscopic surgery) according to different treatment methods, with 50 cases in each group. The efficacy rate, visual analogue scale (VAS), Oswestry disability index (ODI), quality of life and psychological status were compared between the two groups. 【Results】3 months after treatment and at the last follow-up, the VAS score of lower back, VAS score of lower limb and ODI score of the observation group were lower than those of the control group (P<0.05). After treatment, the curative effect rate of observation group was 92.00% (46/50), which was significantly higher than that of the control group [72.00% (36/50)], the difference was statistically significant (P<0.05). After treatment, the life quality score of the observation group was higher than that of the control group, and the scores of the self-rating Anxiety scale (SAS) and self-rating Depression scale (SDS) were lower than that of the control group, with statistical significance (P<0.05).【Conclusion】Compared with percutaneous puncture surgery, endoscopic spinal surgery is effective in the treatment of LDH patients, which can significantly improve the pain symptoms and adverse emotions of elderly patients, and improve the quality of life of patients. However, in the selection of surgical methods, the best operation method suitable for patients should be selected according to the specific conditions of patients.

Key words： Lumbar Vertebrae Intervertebral Disc Displacement Diskectomy, Percutaneous Treatment Outcome

收稿日期: 2025-02-19

中图分类号:

R681.53

基金资助:^*河南省慈善联合总会·道健基金项目(编号:szsyky24001)

通讯作者: ^**E-mail:smk0422@163.com

引用本文:

马红娜, 王晓玲, 谭璐, 申明奎. 不同手术方式治疗老年腰椎间盘突出症患者的疗效对比^*[J]. 医学临床研究, 2025, 42(3): 369-372.
MA Hongna, WANG Xiaoling, TAN Lu, et al. Comparison of Curative Effect of Different Surgical Methods on Elderly Patients with Lumbar Disc Herniation. JOURNAL OF CLINICAL RESEARCH, 2025, 42(3): 369-372.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.03.001 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I3/369

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