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目的 探讨经皮椎间孔镜髓核摘除术对腰椎间盘突出症(LDH)患者术后腰椎功能恢复及生活质量的影响.方法 选取孟州市人民医院77例LDH患者,根据治疗方案不同分为对照组38例予以小切口椎板开窗髓核切除术治疗,观察组39例实施经皮椎间孔镜髓核摘除术治疗,观察比较两组腰椎功能评分及治疗前后疼痛评 分(VAS)、生活质量(SF-36)评分.结果 治疗后1个月及3个月观察组腰椎功能评分均高于对照组,差异具有统计学意义(P＜0.05);治疗后观察组VAS评分小于对照组,SF-36评分高于对照组,差异具有统计学意义(P＜0.05).结论 经皮椎间孔镜髓核摘除术可改善腰椎间盘突出症患者腰椎功能及生活质量,减轻患者疼痛程度.“,”Objective To explore the quality of life and lumbar functional recovery of the patients with lumbar disc herniation(LDH) in the treatment of percutaneous transforaminal endoscopic discectomy.Methods Totally 77 patients with LDH enrolled in the study were randomly divided into two group,38 patients received small incision open laminectomy window directory treatment as control group and 39 patinets received percutaneous transforaminal endoscopic discectomy as observation group.Then observed and compared the lumbar function score and visual analogue scale (VAS) before and after treatment and quality of life score (SF-36) of patients.Results The lumbar function score of the observation group was significantly higher than that of the control group at one month and three month after operation (P ＜ 0.05);The VAS of the observation group was significantly lower than that of the control group(P ＜0.05),and the SF -36 of the observation group was significantly higher than that of the control group (P ＜ 0.05).Conclusion Percutane-ous transforaminal endoscopic discectomy can improve the lumbar function and quality of life in patients with lumbar disc herniation (LDH) and relieve the pain of patients.