%0 Journal Article
%T 经皮椎间孔镜对比椎板开窗髓核摘除术治疗腰椎间盘突出症疗效的荟萃分析<br>A Meta-Analysis of the Therapeutic Effect of Percutaneous Fenestration of the Intervertebral Disc Compared to Laminectomy for Lumbar Disc Herniation
%A 刘凯
%A 孙甫
%A 王磊
%J Advances in Clinical Medicine
%P 95-109
%@ 2161-8720
%D 2024
%I Hans Publishing
%R 10.12677/acm.2024.1482187
%X 目的：分析并比较经皮椎间孔镜与传统椎板开窗髓核摘除术治疗腰椎椎间盘突出症的疗效性及安全性。方法：检索CNKI、VIP、CBM、PubMed、Embase、Cochrane Library、Web of Science等数据库，通过检索国内外发表的治疗腰椎椎间盘突出症的中英文文献，检索时间为建库至2024年4月3日。收集关于经皮椎间孔镜与传统椎板开窗髓核摘除术治疗腰椎椎间盘突出症的前瞻性、随机对照研究。根据纳入与排除标准进行文献筛选、质量评价、及数据提取。采用RevMan 5.4和Stata 15.0软件对数据进行荟萃分析。结果：最后有32篇相关研究被纳入此次荟萃分析。荟萃分析结果表明，2组术后住院时间、2组术中出血量、术后12个月腰腿痛视觉模拟量表(VAS)评分、以及术后12个月Oswestry功能障碍指数(ODI)差异具有统计学意义(P &lt; 0.05)；2组手术时间差异无统计学意义(P &gt; 0.05)。结论：相比于传统椎板开窗髓核摘除术在治疗腰椎椎间盘突出症方面，经皮椎间孔镜技术是一种更加微创且安全有效的手术方法。<br />
Objective: To analyze and compare the efficacy and safety of percutaneous fenestration and traditional laminectomy for the treatment of lumbar disc herniation. Method: Retrieve databases such as CNKI, VIP, CBM, PubMed, Embase, Cochrane Library, Web of Science, etc. Retrieve Chinese and English literature on the treatment of lumbar disc herniation published domestically and internationally, with a search period from database establishment to April 3, 2024. Collect a prospective, randomized controlled study on the treatment of lumbar disc herniation using percutaneous foraminal endoscopy and traditional laminectomy. Conduct literature screening, quality evaluation, and data extraction based on inclusion and exclusion criteria. Perform meta-analysis on the data using RevMan 5.4 and Stata 15.0 software. As a result, 32 related studies were included in this meta-analysis. The meta-analysis results showed that there were statistically significant differences (P &lt; 0.05) in postoperative hospitalization time, intraoperative bleeding volume, visual analogue scale (VAS) scores for lower back and leg pain at 12 months, and Oswestry Dysfunction Index (ODI) at 12 months after surgery between the two groups; there was no statistically significant difference in surgical time between the two groups (P &gt; 0.05). Conclusion: Compared with traditional laminectomy and fenestration of the nucleus pulposus, percutaneous foramen endoscopic technique is a more minimally invasive, safe, and effective surgical method in the treatment of lumbar disc herniation.
%K 腰椎间盘突出&#65292
%K 椎间孔镜&#65292
%K 椎板开窗&#65292
%K 经皮&#65292
%K 荟萃分析<br>Lumbar Disc Herniation
%K Intervertebral Foramen Endoscopy
%K Laminar Fenestration
%K Transcutaneous
%K Meta Analysis
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=92967