椎间孔镜技术联合选择性神经根阻滞治疗腰椎间盘突出症的疗效研究

目的 研究椎间孔镜技术联合选择性神经根阻滞治疗腰椎间盘突出症的疗效。方法 回顾性分析本院2015年1月至2019年12月采用椎间孔镜技术联合选择性神经根阻滞治疗120例腰椎间盘突出症患者的临床资料。术后随访6个月,观察并记录术中情况、并发症发生情况及术后6个月采用Macnab量表评价手术疗效。结果 ①120例患者均顺利完成手术,平均术中出血量(32.34±12.45)mL、平均手术时间(64.14±16.42)min、术后卧床时间(1.23±0.82)d、平均住院时间(3.34±1.12)d；②120例患者均获得随访,术后6个月优良率为90.83%。③120例患者术后并发症总发生率为8.33%(10/120),其中术侧感觉迟钝与腰痛复发各3例、手术部位再突出与损伤血管丛各2例。结论 椎间孔镜技术联合选择性神经根阻滞治疗腰椎间盘突出症的近期疗效可靠,术后并发症发生率低,值得临床推广。

Efficacy of intervertebral foramen technique combined with selective nerve root block in the treatment of lumbar disc herniation

Objective: To investigate the efficacy of intervertebral foramen technique combined with selective nerve root block in the treatment of lumbar disc herniation. Methods: The clinical data of 120 patients with lumbar disc herniation treated by foraminoscopy combined with selective nerve root block from January 2015 to December 2019 were retrospectively analyzed. The patients were followed up for 6 months. The intraoperative and complications were observed and recorded. The Macnab scale was used to evaluate the curative effect 6 months after operation. Results: (1) 120 patients were successfully completed surgery with the average intraoperative bleeding volume (32.34±12.45)mL, the average duration of surgery (64.14±16.42) min, postoperative bedridden time (1.23±0.82) d and the average hospital stay (3.34±1.12) d; (2) 120 patients were followed up, the excellent and good rate of 6 months after surgery was 90.83%. (3) Postoperative side sensory retardation was found in 3 of 120 patients, reoccurrence of the operative site in 2, injury of vascular plexus in 2 and recurrence of low back pain in 3. The total incidence of complications was 8.33%. Conclusion: Intervertebral foraminoscopy combined with selective nerve root block in the treatment of lumbar disc herniation has reliable short-term efficacy and low postoperative complications, which is worthy of clinical promotion.