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

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1193 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

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

Received: 19 February 2025

PACS:

R681.53

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MA Hongna
	WANG Xiaoling
	TAN Lu
	et al

Cite this article:

MA Hongna,WANG Xiaoling,TAN Lu, et al. Comparison of Curative Effect of Different Surgical Methods on Elderly Patients with Lumbar Disc Herniation[J]. JOURNAL OF CLINICAL RESEARCH, 2025, 42(3): 369-372.

URL:

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

[1] 王岩,相宏飞,海涌,等.老年腰椎间盘突出症诊疗指南[J].中华老年骨科与康复电子杂志,2021,7(3):132-139.
[2] 吴刚,吴波,施俊峰,等.两种手术方式治疗老年腰椎间盘突出症效果比较[J].交通医学,2015,29(5):532-533.
[3] 裴少保,杜怡斌,尹宗生.单侧双通道内镜与双侧椎旁肌间入路腰椎间融合比较[J].中国矫形外科杂志,2024,32(5):410-416.
[4] 卢建峰,王志超,卢廷胜,等.老年腰椎间盘突出症特点与开放减压椎间盘切除[J].中国矫形外科杂志,2022,30(6):563.
[5] 栾静,王琦,吕丹,等.经椎间孔入路脊柱内镜治疗老年腰椎间盘突出症的疗效分析[J].中国疼痛医学杂志,2021,27(10):750-756.
[6] 郑琎喆,李伍建,赵金龙,等.经椎间孔入路与椎板间入路脊柱内镜下治疗老年椎间盘突出症疗效及对VAS、JOA评分的影响[J].解放军医药杂志,2020,32(7):72-75.
[7] 刘艳平,谭明杨,徐超强,等.老年腰椎间盘突出症病人疼痛信念与认知衰弱的关系:睡眠质量的中介作用及焦虑的调节作用[J].全科护理,2022,20(29):4033-4039.
[8] 刘芩慈,吁芬,周江玲,等.疼痛接受在老年腰椎间盘突出症患者心理一致感与应对策略间的中介效应[J].护理实践与研究,2024,21(3):325-333.
[9] 任晓冉,陈鸿芳,陈玉,等.老年腰椎间盘突出症患者自我效能水平及其影响因素[J].中华老年多器官疾病杂志,2020,19(9):661-665.
[10] 许娜,种琦,李明.PETD与PEID微创术式治疗老年椎间盘突出疗效及疼痛指标[J].中国老年学杂志,2022,42(19):4691-4695.
[11] MAO L,WANG K,ZHU W Y, et al.Repeat surgery after percutaneous endoscopic lumbar discectomy for adolescent lumbar disc herniation: a multicenter observational study[J].Orthop Surg,2024,16(6):1336-1343.
[12] 张冰,马航.脊柱内镜辅助下的经椎间孔腰椎椎体间融合术治疗腰椎间盘突出症肥胖患者的临床效果[J].医学临床研究,2024,41(9):1331-1334.
[13] 龙亨国,刘邦能,周成洪,等.脊柱内镜TESSYS技术治疗老年退行性腰椎间盘突出症疗效观察[J].中国骨与关节损伤杂志,2023,38(3):290-292.
[14] 张同昱,张玉民,王婷婷,等.单侧双通道脊柱内镜技术与后路腰椎椎间融合术治疗腰椎退行性疾病患者的疗效比较[J].医学临床研究,2025,42(2):275-277.