汪洋 熊健

    【摘要】 目的：研究分析椎間隙入路关节突外侧开窗对腰椎间盘突出症预后的影响。方法：选取武汉中西医结合骨科医院、长江大学附属荆州医院2020年9月—2022年10月收治的72例腰椎间盘突出症患者，通过随机数字表法将其分为对照组(常规穿刺入路脊柱内镜手术疗法，36例)与观察组(椎间隙入路关节突外侧开窗手术疗法，36例)。研究分析其临床指标、日本骨科协会(Japanese orthopaedic association，JOA)下腰痛评分表评分、视觉模拟评分法(VAS)评分、治疗优良率、腰椎后伸、前屈、左侧屈和右侧屈运动范围的改变。结果：观察组治疗优良率明显高于对照组，差异有统计学意义(P0.05)。治疗后90 d，观察组VAS评分低于对照组，JOA下腰痛评分表评分高于对照组，差异均有统计学意义(P0.05)。结论：对腰椎间盘突出症实施椎间隙入路关节突外侧开窗治疗方式，临床治疗效果显著，能够明显改善腰椎功能及预后，调整腰椎后伸、前屈、左侧屈及右侧屈运动范围，降低疼痛感。

    【关键词】 椎间隙入路关节突外侧开窗 腰椎间盘突出症 JOA下腰痛评分表 腰椎运动范围

    Effect of Lateral Facet of Articular Process Fenestration Via Intervertebral Space Approach on the Prognosis of Lumbar Disc Herniation/WANG Yang， XIONG Jian. //Medical Innovation of China， 2023， 20(34)： 0-075

    [Abstract] Objective： To analyze the effect of lateral facet of articular process fenestration via intervertebral space approach on the prognosis of lumbar disc herniation. Method： A total of 72 patients with lumbar disc herniation admitted to Wuhan Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine and Jingzhou Hospital Affiliated to Changjiang University from September 2020 to October 2022 were selected and divided into the control group (conventional puncture approach endoscopic spine surgery therapy ......