为观察和分析椎间孔镜微创手术治疗腰椎间盘突出症患者的早期快速康复效果，选择2015年7月至2017年1月行椎间孔镜手术治疗腰椎间盘突出症患者91例，术后随访6个月，应用疼痛视觉模拟评分（vVAS）、Oswestry功能障碍指数问卷表（ODI）评估患者术前、术后3天、术后3个月、6个月障碍指数。用改良Macnab标准评价临床疗效，观察并记录手术时间、术中出血量、平均住院天数、术后复发率和并发症。结果表明：术后各时间点腰腿痛VAS评分、ODI评分较术前均明显降低（P<0.05）。术后第3天与术后3、6个月腰痛VSA评分无统计学差异（P>0.05）。术后3天与术后3个月腿痛VAS评分相比明显减少，有统计学差异（P<0.05）。术后6个月与术后3天腰痛VAS评分相比减少，但差异无统计学意义（P>0.05）。患者出血量平均35 mL，住院时间平均8天。因此，椎间孔镜手术治疗腰椎间盘突出症安全、有效，且具有创伤小、并发症少等特点，并术后康复时间明显缩短。
To observe and analyze the short-term efficacy of percutaneous endoscopic lumbar discectomy surgery, 91 patients diagnosed as LDH and treated with PELD operation in our department from July 2015 to January 2017 were collected retrospectively. During the 6-month follow-up, we used visual analogue scale (VAS) and Oswestry disability index (ODI) to evaluate preoperative and postoperative (3 day, 3 month, 6 month) disturbance indexes of the patient. The operation time, intraoperative blood loss, hospital stay, recurrence rate and complication were observed and recorded using revised Macnab criteria for efficacy evaluation. The postoperative (3 days, 3 and 6 months) VAS and ODI values of the waist and leg were significantly decreased (P<0.05). There was no significant difference between 3 days from 3 months and 6 months postoperative VAS values for lumbar and leg (P>0.05). VAS scores of leg pain were significantly reduced 3 days after surgery as compared to 3 months after surgery (P<0.05). The VAS score of the lumbar at 6 months after surgery was reduced compared to 3 days after surgery, but the difference was not statistically significant (P>0.05). The improved Macnab standard was 88%. The average blood loss was 35mL; the average length of stay was 8 days. Percutaneous endoscopic lumbar discectomy is quite safe, effective and of less traumatic outcome with fewer complications and has a significant effect on rapid rehabilitation after the operation.
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