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经皮椎间孔内镜手术与可穿戴式腰部脊柱保护设备治疗腰椎间盘突出症的疗效。

Curative Effect of Foraminal Endoscopic Surgery and Efficacy of the Wearable Lumbar Spine Protection Equipment in the Treatment of Lumbar Disc Herniation.

机构信息

Sunshine Union Hospitai,Spinal Surgery, Weifang, Shandong 261000, China.

出版信息

J Healthc Eng. 2022 Mar 25;2022:6463863. doi: 10.1155/2022/6463863. eCollection 2022.


DOI:10.1155/2022/6463863
PMID:35368945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8975632/
Abstract

Lumbar disc herniation is a common and frequently-occurring disease in pain clinics. The incidence rate of affliction is increasing with every passing year. Besides the aged, young people also suffer from long-term pain, which not only affects their daily routines but may also lead to serious impairment. The causes of chronic low back and leg pain caused by lumbar disc herniation are mainly related to mechanical compression, the adhesion of epidural space, intervertebral space, and aseptic inflammatory reaction. The treatment of lumbar disc herniation should follow the principle of step-by-step treatment. An appropriate treatment scheme needs to be adopted according to the patient's condition. About 80% of patients received nonsurgical treatment to get relief from the pain symptoms. However, 10% to 15% of patients still need traditional open surgery. Spinal foraminal surgery is a new method for the treatment of lumbar disc herniation, lumbar surgery failure syndrome, and lumbar spinal stenosis. However, there are only scattered clinical reports on the efficacy of spinal foraminal surgery. Based on it, this paper proposes a method to explore the efficacy of spinal foraminal mirror surgery in the treatment of lumbar disc herniation. Besides, postoperative wearable lumbar protective equipment is proposed to ensure a seamless rehabilitation effect on the patients. Statistical analysis performed using a -test revealed that there was a significant difference between the visual analog scales (VAS) scores of the two groups after 3 and 6 months of treatment ( < 0.05). The paper analyzes and summarizes the cases with definite and poor curative effects, which not only provides the basis for clinical practice but also paves the way to multicenter clinical research.

摘要

腰椎间盘突出症是疼痛科常见的多发病,其发病率逐年升高。除老年人外,年轻人也长期遭受疼痛的折磨,不仅影响日常生活,还可能导致严重的功能障碍。腰椎间盘突出症引起的慢性腰腿痛的原因主要与机械压迫、硬膜外间隙粘连、椎间隙粘连和无菌性炎症反应有关。腰椎间盘突出症的治疗应遵循阶梯治疗的原则,根据患者的病情选择合适的治疗方案。约 80%的患者接受非手术治疗以缓解疼痛症状,但仍有 10%至 15%的患者需要传统的开放性手术。经皮椎间孔镜手术是治疗腰椎间盘突出症、腰椎手术失败综合征和腰椎管狭窄症的一种新方法,但关于经皮椎间孔镜手术疗效的临床报道较少。基于此,本文提出了一种利用椎间孔镜手术治疗腰椎间盘突出症的方法,并提出术后穿戴腰部保护设备,以确保患者康复效果的无缝衔接。采用 t 检验进行统计学分析,结果显示两组患者治疗后 3 个月和 6 个月的视觉模拟评分(VAS)有显著差异( < 0.05)。对疗效确切和疗效不佳的病例进行分析总结,为临床实践提供依据,也为多中心临床研究奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/479023499548/JHE2022-6463863.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/3836d2acce84/JHE2022-6463863.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/453bb6294df1/JHE2022-6463863.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/7ae965813539/JHE2022-6463863.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/f2c04b38a316/JHE2022-6463863.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/3ca809e7cb97/JHE2022-6463863.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/799fd4f128cd/JHE2022-6463863.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/d5faaed3b32e/JHE2022-6463863.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/479023499548/JHE2022-6463863.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/3836d2acce84/JHE2022-6463863.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/453bb6294df1/JHE2022-6463863.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/7ae965813539/JHE2022-6463863.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/f2c04b38a316/JHE2022-6463863.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/3ca809e7cb97/JHE2022-6463863.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/799fd4f128cd/JHE2022-6463863.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/d5faaed3b32e/JHE2022-6463863.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96d1/8975632/479023499548/JHE2022-6463863.008.jpg

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[5]
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[6]
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本文引用的文献

[1]
Lumbar disc disease: the effect of inversion on clinical symptoms and a comparison of the rate of surgery after inversion therapy with the rate of surgery in neurosurgery controls.

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