改良俯卧位在侧路椎间孔镜手术的临床应用

单增会; 赵艳春; 马超; 刘光旺

doi:10.13898/j.cnki.issn.1000-2200.2021.10.038

改良俯卧位在侧路椎间孔镜手术的临床应用

Clinical application of the modified prone position in lateral intervertebral foramen surgery

摘要

摘要:
目的探讨改良俯卧位在侧路椎间孔镜手术中的效果。
方法选取侧路椎间孔镜手术病人130例，随机分为对照组和观察组各65例。对照组采用常规俯卧位的侧路椎间孔镜手术，观察组采用改良俯卧位的侧路椎间孔镜手术。比较2组手术指标、疼痛程度、恢复情况及临床满意度。
结果观察组手术时间短于对照组（P＜0.01），术中C型臂透视次数少于对照组（P＜0.01），术中出血量与对照组差异无统计学意义（P>0.05）；观察组术后1、2个月视觉模拟评分、Oswestry功能障碍指数与对照组差异均无统计学意义（P>0.05）；观察组临床满意度高于对照组（P＜0.01）。
结论改良俯卧位应用于行侧路椎间孔镜手术可有效改善手术指标，提高病人临床满意度。

Abstract:
ObjectiveTo investigate the effects of modified prone position on patients treated with lateral inter vertebral foramen surgery.
MethodsOne hundred and thirty patients treated with lateral intervertebral foramen surgery were randomly divided into the control group and observation group(65 cases in each group).The control group were treated with lateral intervertebral foramen surgery in the conventional prone position, while the observation group were treated with lateral intervertebral foramen surgery in the modified prone position.The operative index, pain level, recovery and clinical satisfaction were compared between two groups.
ResultsThe operation time in observation group was shorter than that in control group(P < 0.01), the number of C-arm fluoroscopy in observation group was less than that in control group(P < 0.01), and the difference of the intraoperative blood loss was not statistically significant(P>0.05).The differences of the VAS scores and ODI between two groups at 1 month and 2 months after operation were not statistically significant(P>0.05).The clinical satisfaction in observation group was higher than that in control group(P < 0.01).
ConclusionsThe modified prone position in lateral intervertebral foramen surgery can effectively improve the surgical index, and improve the clinical satisfaction of patients.

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