探讨经皮椎间孔镜髓核摘除术治疗腰间盘突出症的临床效果分析

来源 :中国医药指南 | 被引量 : 0次 | 上传用户:tsmkgszcd
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的 研究经皮椎孔镜髓核摘除术对椎间盘突出症治疗的临床效果。方法 将2019年2月至2021年6月到我院经小切口椎板开窗髓核切除术治疗的33例腰椎间盘突出症患者设为对照组,另选同期到我院经皮椎孔镜髓核摘除术治疗的35例腰椎间盘突出症患者设为观察组,对两组患者的资料情况进行统计并做比较。结果 ①治疗后观察组的手术时间、术中出血量和术后卧床时间都比对照组少,差异有统计学意义(P<0.05)。②观察组(2例,占5.71%)术后并发症发生率明显比对照组(9例,占27.27%)低,差异有统计学意义(P<0.05)。“,”Objective To study the clinical effect of percutaneous foraminal nucleus extraction in the treatment of intervertebral disc herniation.Methods From February 2019 to June 2021, 33 patients with lumbar disc herniation treated by small incision fenestration and nucleus pulposus in our hospital were set as the control group, and they were selected to go to our hospital during the same period 35 patients with lumbar disc herniation treated by nucleus pulposus were set as the observation group, and the data of the two groups of patients were counted and compared. Results (1) After treatment, the operation time, intraoperative blood loss and postoperative bed time of the observation group were less than those of the control group, the difference was statistically significant (P<0.05). (2) The observation group (2 cases, accounting for 5.71%) the incidence of postoperative complications was significantly lower than that of the control group (9 cases, accounting for 27.27%), and the difference was statistic ally significant (P<0.05).(3) Observation group (32 cases, accounting for 91.43%) after treatment the excellent and good rate was significantly higher than that of the control group(24 cases, accounting for 72.73%), and the difference was statistically significant (P<0.05). (4) The JOA score and ODI score of the observation group after treatment were significantly better than those of the control group, with differences Statistical significance (P<0.05). (5) The pain in the observation group was significantly lighter after treatment, and the quality of sleep and quality of life were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusion The clinical application of percutaneous foraminal endoscopic nucleus extraction in the treatment of lumbar disc herniation can effectively optimize surgical indicators, promote postoperative recovery of patients, improve the safety of treatment, improve the rate of recovery of treatment, and improve patients\' health Lumbar function, improve the overall quality of life and sleep quality, reduce pain, it is worth recommending.
其他文献
目的 分析预见性护理在脑出血患者护理中的临床应用效果。方法 选取我院2019年2月至2021年2月收治的180例脑出血患者作为研究对象,采用随机数字表法分为对照组和观察组,每组90例,对照组采用常规护理,观察组在常规护理的基础上采用预见性护理,对比两组的护理效果。结果 观察组的护理质量、生存质量和护理满意度均优于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为2.22%,低于对照组的11.11%,差异有统计学意义(P<0.05)。观察组干预后的ADL评分为(86.48±3.26)分,高于对照
为提高聚能射流的侵彻性能,提出一种双锥药型罩,通过改变部分罩顶材料,探究其对射流成型及侵彻性能的影响.以钨、钽、镍为罩顶材料,用LS-DYNA软件对不同罩顶材料高度占比下(h/H)钽-铜、钨-铜、镍-铜双锥药型罩和单铜双锥药型罩的射流形成和侵彻钢靶板过程进行数值模拟.结果表明:钨-铜型对头部速度的提升最大,但易断裂,镍-铜型的头部速度最小,钽-铜型成型最好且对侵彻性能的提升最大.当h/H=0.32时,钽-铜结合双锥药型罩形成的射流与单铜双锥罩相比,头部速度提高15%,射流长度增加2.1%,射流侵彻深度提高