柴勇

【摘 要】目的：探讨经皮椎间孔镜髓核摘除术配合个体化康复治疗对腰椎间盘突出症患者术后生活质量的影响。方法：从2017年2月至2018年9月收治的腰椎间盘突出症患者中选择90例进行研究，以随机数字表法分为对照组与观察组各45例，两组患者均接受经皮椎间孔镜髓核摘除术治疗，对照组术后进行常规康复治疗，观察组术后实施个体化康复治疗，对比两组患者术后功能恢复、并发症发生率。结果：两组患者术后1d的VAS评分、JOA及ODI评分、SF-36评分无明显差异（P>0.05），观察组术后3个月的上述指标与对照组比较有明显差异（P<0.05）;观察组并发症发生率为2.22%，明显高于对照组15.56%（P<0.05）。结论：经皮椎间孔镜髓核摘除术配合个体化康复治疗能促进腰椎间盘突出症患者术后康复，也能提高生活质量，减少并发症发生，值得推广。

【关键词】经皮椎间孔镜髓核摘除术;个体化康复治疗;腰椎间盘突出症;生活质量

【Abstract】Objective： To investigate the effect of percutaneous transforaminal nucleus pulposus removal combined with individualized rehabilitation on postoperative quality of life in patients with lumbar disc herniation. methods： 90 patients who underwent lumbar disc herniation from February 2017 to September 2018 were selected for study. according to the random number table method， there were 45 cases in the control group and the observation group. Both groups underwent percutaneous transforaminal nucleus pulposus removal， and the control group received routine rehabilitation after surgery. The observation group received individualized rehabilitation after surgery.The postoperative functional recovery and complication rate were compared between the two groups. results： There were no significant difference in VAS score， JOA， ODI score and SF-36 score between the two groups （P>0.05）. The above indexes of the observation group were significantly different from the control group at 3 month after operation （P<0.05） ;The incidence of complications in the observation group was 2.22%， which was significantly higher than that in the control group 15.56% （P<0.05）. conclusion： Percutaneous transforaminal nucleus pulposus removal combined with individualized rehabilitation can promote postoperative rehabilitation of patients with lumbar disc herniation， improve quality of life， reduce complications， and is worth promoting.

【Key words】percutaneous transforaminal nucleus pulposus removal; individualized rehabilitation; lumbar disc herniation; quality of life

腰椎間盘突出症是一种常见疾病，主要由椎间盘变性、纤维环受损/髓核突出使脊神经根受到压迫刺激，导致腰腿疼痛、麻木等症状。手术是目前治疗腰椎间盘突出症的有效方案，经皮椎间孔镜髓核摘除术是治疗该病的微创术式，但术后还是需要接受规范康复治疗，以促进功能康复[1]。本研究将个体化康复治疗用于经皮椎间孔镜髓核摘除术治疗腰椎间盘突出症术后，现报道如下。

1 资料与方法

1.1 一般资料

从2017年2月至2018年9月收治的腰椎间盘突出症患者中选择90例进行研究，以随机数字表法分为对照组与观察组各45例。观察组：男性24例，女性21例，年龄45～77岁，平均年龄（60.25±3.69）岁;对照组：男性25例，女性20例，年龄42～75岁，平均年龄（60.44±3.71）岁。两组一般资料无明显差异（P>0.05），存在可比性。

1.2 方法

两组患者均接受经皮……