Advance Search
LIANG Miaomiao, GUO Lan, CONG Lin. Effect of transforaminal endoscopic surgery and traditional fenestration operation in the treatment of lumbar disc herniation and their perioperative nursing[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 116-119. DOI: 10.7619/jcmp.201913033
Citation: LIANG Miaomiao, GUO Lan, CONG Lin. Effect of transforaminal endoscopic surgery and traditional fenestration operation in the treatment of lumbar disc herniation and their perioperative nursing[J]. Journal of Clinical Medicine in Practice, 2019, 23(13): 116-119. DOI: 10.7619/jcmp.201913033
shu

Effect of transforaminal endoscopic surgery and traditional fenestration operation in the treatment of lumbar disc herniation and their perioperative nursing

  • Department of Orthopaedics, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, 110001

More Information
  • Received Date: March 21, 2019
  • Accepted Date: April 24, 2019
  • Available Online: February 23, 2021
  • Published Date: July 14, 2019
    Graphical Abstract
    • Abstract
  •   Objective  To compare the clinical efficacy of percutaneous transforaminal endoscopic surgery and traditional fenestration surgery in the treatment of lumbar disc herniation, and to analyze the perioperative nursing strategy.
      Methods  A total of 60 lumbar disc herniation patients were randomly divided into study group and control group, with 30 cases in each group, the study group received transforaminal endoscopic surgery, while the control group used the traditional fenestration operation. The changes of Oswestry function index (ODI) and Visual Analogue Scale (VAS) score in the two groups during operation and at 3 months after operation were observed, and nursing effect was analyzed.
      Results  All the 60 patients had better curative efficacy through timely, effective preoperative and postoperative nursing intervention and their actively cooperation. There were no postoperative complications observed such as cerebrospinal fluid leakage, nerve root injury, pressure ulcer and venous thrombosis of lower extremity; the study group had significantly shorter incision length, and earlier ambulance time than the control group (P < 0.05); ODI score and VAS score at 3 months after surgery in two groups were significantly improved (P < 0.05), but had no significance difference before surgery and at 3 months after surgery (P>0.05).
      Conclusion  Compared with traditional fenestration surgery, transforaminal endoscopic discectomy for lumbar disc herniation has less trauma, earlier postoperative activity time and better recovery.
    • FullText(HTML)
    • References (11)
  • [1]
    田胜兰, 谭伟, 冯丹, 等. 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床观察[J]. 华中科技大学学报: 医学版, 2015, 44(4): 472-475. doi: 10.3870/j.issn.1672-0741.2015.04.022
    [2]
    杨波, 鹿洪辉, 杨蓓, 等. 经皮椎间孔镜手术对不同椎间孔镜下分型腰椎间盘突出症的疗效分析[J]. 河北医学, 2017, 23(5): 776-780. doi: 10.3969/j.issn.1006-6233.2017.05.021
    [3]
    金丹杰, 徐南伟, 赵国辉, 等. 经皮椎间孔镜与椎板开窗椎间盘切除术治疗腰椎间盘突出症的前瞻性随机对照研究[J]. 中国微创外科杂志, 2017, 17(6): 491-494. doi: 10.3969/j.issn.1009-6604.2017.06.004
    [4]
    邵长凤. 微创椎间孔镜手术治疗腰椎间盘突出症的护理[J]. 中华现代护理杂志, 2016, 22(4): 553-555. doi: 10.3760/cma.j.issn.1674-2907.2016.04.028
    [5]
    方文君. 椎间孔镜治疗腰椎间盘突出症患者的护理[J]. 解放军护理杂志, 2015, 32(3): 41-42, 59. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201503017.htm
    [6]
    张倩, 纪慧茹, 刘纯纯, 等. 经皮椎间孔镜治疗腰椎间盘突出症38例护理[J]. 武警医学, 2015, 26(5): 534-535. doi: 10.3969/j.issn.1004-3594.2015.05.037
    [7]
    陈雪萍, 刘凌波, 陈优青. PDCA循环管理对经椎弓根伤椎内植骨并椎弓根内固定治疗胸腰椎爆裂性骨折患者护理质量的影响[J]. 现代医学, 2015, 43(2): 158-162. https://www.cnki.com.cn/Article/CJFDTOTAL-TDYX201502008.htm
    [8]
    陈晓霞, 杜贵鹃, 徐艳华, 等. 临床护理路径在椎间孔镜技术治疗极外侧型腰椎间盘突出症护理中的应用[J]. 中医正骨, 2017, 29(6): 79-80. doi: 10.3969/j.issn.1001-6015.2017.06.023
    [9]
    赵显, 宋涛, 孙新宏, 等. 椎间孔镜技术与椎板间开窗治疗双节段腰椎间盘突出症的疗效观察[J]. 临床骨科杂志, 2015, 18(6): 662-666. doi: 10.3969/j.issn.1008-0287.2015.06.008
    [10]
    马敬寿, 王晓波, 刘福志, 等. 经椎板间入路椎间孔镜治疗下段腰椎间盘突出症[J]. 中华创伤骨科杂志, 2016, 18(3): 261-264. doi: 10.3760/cma.j.issn.1671-7600.2016.03.016
    [11]
    胡芳, 田亚宁, 郑颖, 等. 腰椎间盘突出症应用椎间孔镜围手术期的护理效果[J]. 临床医学研究与实践, 2016, 1(15): 146-147. https://www.cnki.com.cn/Article/CJFDTOTAL-YLYS201615114.htm
    • Related Articles

  • Related Articles

    [1]ZHOU Xiaoping, QIAO Jimin, LI Kai, WANG Zhimei. Efficacy of selective ulnar artery continuous circulatory compression in reducing radial artery occlusion in elderly patients with coronary heart disease undergoing coronary intervention[J]. Journal of Clinical Medicine in Practice, 2024, 28(3): 122-125, 130. DOI: 10.7619/jcmp.20233706
    [2]CONG Linqiang. Effect of plasma microRNA-34a level on degree of coronary artery disease in coronary atherosclerotic heart disease patients[J]. Journal of Clinical Medicine in Practice, 2022, 26(12): 102-106. DOI: 10.7619/jcmp.20215098
    [3]SHEN Qin, ZHANG Xiao, WU Ting, CHEN Liang. Clinical value of calcification scores of coronary artery CT angiography in evaluating coronary artery lesions and prognosis in patients with chronic angina pectoris[J]. Journal of Clinical Medicine in Practice, 2022, 26(3): 1-4, 8. DOI: 10.7619/jcmp.20213903
    [4]ZHANG Qiu, SUN Ling, WANG Qingjie, JI Yuan, JIANG Jianguang. Value of growth differentiation factor-15 in predicting risk of acute kidney injury in patients with acute coronary syndrome[J]. Journal of Clinical Medicine in Practice, 2020, 24(16): 15-18. DOI: 10.7619/jcmp.202016004
    [5]YANG Fubao, LIU Jiaojiao. Value of echocardiogram and electrocardiogram in diagnosis of Kawasaki disease patients with coronary artery lesions[J]. Journal of Clinical Medicine in Practice, 2020, 24(6): 47-50. DOI: 10.7619/jcmp.202006013
    [6]WANG Jingwu, AI Fengying, WANG Dasheng, WU You, SU Yanjie, YANG Xinquan, WANG Daxin. Relationship between plasma TSP-1 and degree of coronary artery stenosis[J]. Journal of Clinical Medicine in Practice, 2018, (9): 6-10. DOI: 10.7619/jcmp.201809002
    [7]GENG Jiafeng. Correlation between N-terminal brain natriuretic peptide, lipoprotein (a) and coronary artery disease in patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2016, (15): 14-16,20. DOI: 10.7619/jcmp.201615004
    [8]ZHUO Bo. Application effect of specialized nursing in coronary artery stent implantation[J]. Journal of Clinical Medicine in Practice, 2015, (4): 4-6. DOI: 10.7619/jcmp.201504002
    [9]ZHAO Yanzhong. Correlation between success rate of 64 row CT coronary artery examinationand anxiety and depression statuses of patients[J]. Journal of Clinical Medicine in Practice, 2014, (1): 116-118. DOI: 10.7619/jcmp.201401039
    [10]LI Xiaomei. Clinical values of HCY and hs-CRP in assessment of coronary artery changesin patients with coronary heart disease[J]. Journal of Clinical Medicine in Practice, 2014, (1): 20-22. DOI: 10.7619/jcmp.201401006

  • Cited by

    Periodical cited type(13)

    1. 付中英，杨燕玲，苏月华，于晗澍，李曼，朱凤芹，常红. 过敏性紫癫患儿外周血单个核细胞中ASC mRNA和NLRP3 mRNA表达水平及其与并发肾炎的关系. 中国妇幼健康研究. 2024(11): 20-31 .
    2. 刘阳，郝佳，卑雪，赵志佳，李阳. 过敏性紫癜患儿幽门螺杆菌感染及其对补体系统及炎症指标的影响. 中华医院感染学杂志. 2023(01): 138-141 .
    3. 郭爱玲. 学龄前期HP阳性儿童的免疫功能及生长发育的特点. 哈尔滨医药. 2023(01): 33-35 .
    4. 潘馨，刘佳奕，王艳，童敏，严方利，孙香娟. 幽门螺杆菌感染与儿童过敏性紫癜相关性的Meta分析. 医学信息. 2023(02): 92-98 .
    5. 黄丽琴，江秀华. 微生态制剂结合抗Hp三联方案治疗Hp阳性腹型AP患儿的效果. 数理医药学杂志. 2022(06): 893-895 .
    6. 孙文，黄雅玲，高健. 腹型过敏性紫癜患儿幽门螺杆菌感染与消化道出血的关系及相关因素探讨. 现代消化及介入诊疗. 2022(03): 355-358 .
    7. 王彩芳，么鑫，蔡花，张菂，黄翠影，梁晓亮，陈瑞珊，海冬. 肺炎链球菌、肺炎支原体、柯萨奇病毒及EB病毒感染与儿童过敏性紫癜肾炎的相关性研究. 临床和实验医学杂志. 2022(19): 2099-2103 .
    8. 刘力铭，张颖，赵子年，杨金玉，焦丽华，刘建丽，回广飞. 过敏性紫癜患儿呼吸道病毒感染特异性免疫球蛋白M检测及血清炎性因子变化. 临床军医杂志. 2021(07): 768-769 .
    9. 王杨. 过敏性紫癜患儿血清中Cys C、TM与T淋巴细胞亚群的关系及易感因素分析. 中国医学创新. 2021(21): 10-14 .
    10. 王士杰，胡方起，和平，余必信，邓芳. 黄芪颗粒联合氢化可的松琥珀酸钠治疗过敏性紫癜临床疗效与安全性探究. 中华中医药学刊. 2021(09): 169-172 .
    11. 王婧，韩磊，张震，夏毓，姜烜星，汤兴萍. 儿童过敏性紫癜感染幽门螺杆菌的危险因素分析与治疗研究. 系统医学. 2021(16): 31-34 .
    12. 李丹，张波，秦帅，刘宇. 微生态制剂结合抗幽门螺杆菌三联方案治疗儿童幽门螺杆菌阳性腹型过敏性紫癜的疗效分析. 中国现代医学杂志. 2021(19): 44-48 .
    13. 郭志伟. 探究儿童过敏性紫癜临床用药的治疗效果. 中国继续医学教育. 2021(30): 156-159 .

    Other cited types(1)

Catalog

    Get Citation
    PDF
    XML
    Article views (349) PDF downloads (8) Cited by(14)
    Turn off MathJax
    Article Contents
    Abstract
    References
    Related Articles

    © 2020 《实用临床医药杂志》编辑部

    Address: 江苏省扬州市江阳中路136号，扬州大学江阳路北校区14号楼201室China Pos: 225009Tel: 0514-87978917、87978989、87978807

    苏公网安备 32100302010246号

    Supported by: Beijing Renhe Information Technology Co., Ltd.   Baidu Analytics

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return