3D打印定位导板辅助椎间孔镜微创手术治疗腰椎间盘 突出症的临床疗效

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中图分类号 R687.3 文献标识码 A文章编号 2096-7721（2025）12-2025-05

AbstractObjective：Tinvestigatetheclinicaleficacyof3D-prntedpositioinggudeplate-aistedpercutaneusendosoicmbar discectomy （PELD）intreatinglumbardischerniation.Methods：Aprospectivestudywasconductedon120patients withlumbardisc herniationwhoweretreatedintheDepartmentofSpinalSurgery，Xi'anHospitalofTraditionalChineseMedicinefromJauary23to January2024.Patientswere dividedintothestudygroup（n=60）andthecontrol group（n=6O）usingblockedrandomizationmethod.The controlgroupunderwentconventioalendoscopicforaminotomywhilethestudygroupreceived3D-printedpositioninggudeplateasisted PELD.Perioeatiicatosalcyinvel（isalalogeleoe），brc（Oetaie ODI score），andcomplicationrates werecomparedbetwenthetwo groups.Results：Comparedwiththcontrol group，thestudygroup showedsignitlssopatielodlosefosdctueoeaeetti efficacy and excellent rate （ P <0.05）.Compared with that before surgery，both groups showed reduced VAS scores at1 day and 7 days postoperatively，and reduced ODI scores at 3，6 and 12 months postoperatively （ P<0.05 ），with lower VAS and ODI scores in the study group （ P <0.05）.The total complication rate in the study group was lower than that in the control group （P<0.05） . Conclusion： 3D-printed positioningguideplateasistedELhasgoodclinicaleficacyintreatingumbardischeriation，whichcanefectivelyaviate postoperative pain， improve lumbar function，and reduce complication rates.

Key WordsLumbar DiscHerniation;Pereutaneous EndoscopicLumbar Discectomy;3D-printedPositioningGuide Plate; Clinical Efficacy; Lumbar Function; Complications

随着现代生活与工作模式的转变，腰椎间盘突出症已成为影响民众生活质量的重要健康问题。（剩余9457字）