谢旭垣 许俊宇

    【摘要】 目的：分析局部浸潤麻醉下经皮脊柱内镜治疗腰椎间盘突出症的临床效果。方法：抽取55例2019年1月-2021年6月在肇庆市第一人民医院住院且需要进行手术治疗的单节段腰椎间盘突出症患者作为研究对象开展回顾性分析，所有患者均接受微创手术治疗，接受局部浸润麻醉下经皮脊柱内镜腰椎间盘髓核摘除手术30例为A组，接受气管内插管全身麻醉下小切口显微镜腰椎间盘髓核摘除手术25例为B组，比较两组手术相关指标、疼痛程度、腰椎功能。结果：A组住院时间、切口长度均短于B组(P0.05)；两组术后各阶段疼痛评分均降低，且A组术后1、3、6个月疼痛程度均低于B组(P0.05)，两组术后各阶段腰椎功能评分均低于术前，且A组术后1、3、6个月腰椎功能评分均优于B组(P0.05). The pain scores of the two groups decreased at each stage after operation， and the pain degree of group A were lower than those of group B at 1， 3 and 6 months after operation (P0.05). The lumbar function scores of the two groups at each stage after operation were lower than those before operation， and the lumbar function scores of group A at 1， 3 and 6 months after operation were better than those of group B (P0.05) ......