Aprile Bruno César, Amato Marcelo Campos Moraes, de Oliveira Cézar Augusto
Departamento de Coluna, Clínica SOU, São Paulo, SP, Brasil.
Departamento de Coluna, Instituto Amato, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2020 Aug;55(4):415-418. doi: 10.1055/s-0039-3402473. Epub 2020 Mar 11.
To determine time period for hospital discharge and pain and function improvement in patients submitted to percutaneous endoscopic lumbar discectomy (PELD). Retrospective evaluation of length of stay and visual analog scale (VAS), Oswestry disability index (ODI), and Roland-Morris questionnaire results in 32 patients undergoing PELD at the preoperative period and at 2 days and 1, 2, 4, 6 and 12 postoperative weeks. All patients were discharged in less than 6 hours. There was a statistically significant improvement between the results obtained before the procedure and 2 days postsurgery: the mean VAS for axial pain went from 6.63 to 3.31, the VAS for irradiated pain went from 6.66 to 2.75, the Oswestry score went from 44.59 to 33.17%, and the Roland-Morris score went from 14.03 to 10.34. This difference progressively improved up to 12 weeks in all questionnaires. Regarding the Oswestry score, minimum disability values (19.39%) were observed at 6 weeks. All 32 patients were discharged within 6 hours. Pain and function improved significantly after 48 hours, with further significant and progressive improvement until the 3 month.
确定接受经皮内镜下腰椎间盘切除术（PELD）患者的出院时间以及疼痛和功能改善情况。 回顾性评估32例接受PELD患者术前、术后2天以及术后1、2、4、6和12周的住院时间、视觉模拟评分（VAS）、Oswestry功能障碍指数（ODI）和罗兰-莫里斯问卷结果。 所有患者均在6小时内出院。手术前与术后2天的结果相比有统计学意义的改善：轴向疼痛的平均VAS从6.63降至3.31，放射痛的VAS从6.66降至2.75，Oswestry评分从44.59%降至33.17%，罗兰-莫里斯评分从14.03降至10.34。所有问卷中的这种差异在12周时逐渐改善。关于Oswestry评分，在6周时观察到最低功能障碍值（19.39%）。 32例患者均在6小时内出院。48小时后疼痛和功能有显著改善，直至3个月时进一步显著且逐渐改善。
