| 罗霄,全娅群,余波,等.经椎板间与椎间孔入路脊柱内镜治疗L5/S1椎间盘突出症的手术配合要点.骨科,2022,13(1): 62-65, 70. |
| 经椎板间与椎间孔入路脊柱内镜治疗L5/S1椎间盘突出症的手术配合要点 |
| Surgical Cooperation of PEID vs. PETD in the Treatment of L5/S1 Disc Herniation |
| 投稿时间：2021-07-01 |
| DOI：10.3969/j.issn.1674-8573.2022.01.014 |
| 中文关键词: 椎间盘 脊柱内镜 手术配合 椎板间 经椎间孔 |
| 英文关键词: Intervertebral disc Spinal endoscopy Surgical cooperation Interlaminar Transforaminal |
| 基金项目:云南省医学领军人才培养计划（L-2017022） |
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| 中文摘要: |
| 目的 探讨经椎板间入路（PEID）和经椎间孔入路（PETD）行脊柱内镜治疗L5/S1椎间盘突出症的手术配合的要点。方法 回顾性分析2018年1月至2019年12月在我院行脊柱内镜治疗L5/S1椎间盘突出症的67例病人的病例资料，按手术入路的不同分为PEID组（35例）和PETD组（32例）。观察两组病人的手术时间、术中透视次数、手术前后住院时间及术者满意情况。结果 两组病人均顺利完成手术。PEID组的手术时间明显较PETD组短［（57.50±12.19） min vs. （82.06±15.84） min］，术中透视次数明显较PETD组少［（5.47±1.46）次 vs. （8.54±2.70）次］；两组手术时间、术中透视次数相比，差异有统计学意义（P＜0.05）。两组手术前后住院时间及术者满意度比较，差异均无统计学意义（P＞0.05）。结论 手术室护士应充分掌握PEID和PETD两种术式配合的要点，熟练的手术配合是治疗L5/S1椎间盘突出症的重要保证，让病人在安全有效的环境下得到最优化的治疗。 |
| 英文摘要: |
| Objective To explore the surgical nursing cooperation of percutaneous endoscopic interlaminar lumbar discetomy (PEID) vs. percutaneous endoscopic transforaminal discectomy (PETD) approaches for the treatment of L5/S1 intervertebral disc herniation. Methods The medical records of 67 patients with L5/S1 disc herniation treated by spinal endoscopy in our hospital from January 2018 to December 2019 were analyzed retrospectively. The patients were divided into PEID group (35 cases) and PETD group (32 cases) according to different surgical approaches. The operation time, intraoperative fluoroscopy times, hospital stay before and after operation, and operator satisfaction were observed. Results Both groups of patients successfully completed the operations. The operation time was significantly shorter ［(57.50±12.19) min vs. (82.06±15.84) min］, and the number of intraoperative fluoroscopy was significantly less ［(5.47±1.46) times vs. (8.54±2.70) times］ in PEID group than those in PETD group with the differences being significant (P＜0.05). There was no significant difference in hospital stay and operator satisfaction between the two groups before and after operation (P＞0.05). Conclusion Operating room nurses should fully master the key points of PEID and PETD. Skilled surgical cooperation is an important guarantee for the treatment of L5/S1 disc herniation, so that patients can get the optimal treatment in a safe and effective environment. |
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