Clinical and economic analysis of methods of surgical treatment of discogenic lumbosacral radiculopathy
- 作者: Kravtsov M.N1, Tegza V.Y.1, Gaidar B.V1, Svistov D.V1
-
隶属关系:
- FGBOU VPO "Military medical Academy named after S. M. Kirov»
- 期: 卷 340, 编号 7 (2019)
- 页面: 29-36
- 栏目: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/81882
- DOI: https://doi.org/10.17816/RMMJ81882
- ID: 81882
如何引用文章
详细
The results of a prospective cohort study with the inclusion of two groups of patients are presented (follow-up period is 6-42 months). The 1st group included 110 patients after undergoing percutaneous endoscopic lumbar discectomy, the 2nd group included 331 patients after lumbar microdiscectomy. Clinical efficacy was assessed using the patient satisfaction score with the result of MacNab surgical treatment. Economic efficiency was determined by the amount of direct medical and indirect costs. Intergroup differences in outcomes, assessed by clinical outcome, incidence of complications, relapses and reoperations, were not statistically significant. The use of percutaneous endoscopic lumbar discectomy causes a significant reduction in costs, which makes this treatment method more cost-effective.
全文:
![受限制的访问](https://journals.eco-vector.com/lib/pkp/templates/images/icons/text_lock.png)
作者简介
M. Kravtsov
FGBOU VPO "Military medical Academy named after S. M. Kirov»
Email: neuromax@mail.ru
Saint-Petersburg
V. Tegza
FGBOU VPO "Military medical Academy named after S. M. Kirov»Saint-Petersburg
B. Gaidar
FGBOU VPO "Military medical Academy named after S. M. Kirov»Saint-Petersburg
D. Svistov
FGBOU VPO "Military medical Academy named after S. M. Kirov»Saint-Petersburg
参考
- Балахонова С.А., Бодин О.Н., Тегза В.Ю. и др. Медико-экономические группы - объективная реальность современного здравоохранения // Вестн. Рос. воен.-мед. акад. - 2016. - № 2. - С. 180-184.
- Бывальцев В.А., Белых Е.Г., Сороковиков В.А. и др. Использование шкал и анкет в вертебрологии // Журн. неврол. и психиатрии. - 2011. - № 9 - С. 51-56.
- Официальный сайт Территориального фонда ОМС Санкт-Петербурга. URL: https://spboms.ru (дата обращения: 01.10.2018).
- Официальный сайт Федеральной службы Государственной статистики. URL: http://www.gks.ru (дата обращения: 25.09.2018).
- Приказ Минздрава РФ от 27.05.2002 г. № 163 «Об утверждении отраслевого стандарта «Клинико-экономические исследования. Общие положения» (вместе с ОСТ 91500.14.0001-2002)
- Рейтинг стран мира по уровню расходов на здравоохранение. Гуманитарная энциклопедия // Центр гуманитарных технологий. 2006-2018. URL: https://gtmarket.ru/ratings/expenditure-on-health/info (дата обращения: 28.12.2018).
- Решетников А.В., Шамшурина Н.Г, Алексеева В.М. и др. Применение клинико-экономического анализа в медицине. - М.: ГЭОТАР-Медиа, 2009. - 179 с.
- Указ Президента РФ от 7 мая 2012 года № 597 «О мероприятиях по реализации государственной социальной политики» // Рос. газета - Столич. вып. - № 5775 от 09.05.2012 г.
- Chen Z., Zhang L., Dong J. et al. Percutaneous transforaminal endoscopic discectomy compared with microendoscopic discectomy for lumbar disc herniation: 1-year results of an ongoing randomized controlled trial // J. of Neurosurgery: Spine. - 2018. - Vol. 28, N 3. - P. 300-310.
- Cummock M. D., Vanni S., Levi A.D. An analysis of postoperative thigh symptoms after minimally invasive transpsoas lumbar interbody fusion // J. of Neurosurgery: Spine. - 2011. - Vol. 15, N 1. - P. 11-18.
- Gibson J.N.A., Subramanian A.S., Scott C.E.H. A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy // Europ. Spine J. - 2017. - Vol. 26, N 3. - P. 847-856.
- Hofstetter C.P., Hofer A.S., Wang M.Y. Economic impact of minimally invasive lumbar surgery // World j. of orthopedics. - 2015. - Vol. 6, N 2. - P. 190.
- Martin B.I., Deyo R.A,. Mirza S.K. et al. Expenditures and health status among adults with back and neck problems // JAMA. - 2008. - Vol. 299, N 6. - P. 656-664.
- Ruetten S., Komp M., Merk H. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study // J. of Neurosurgery: Spine. - 2008. - Vol. 33, N 9. - P. 931-939
- Wang H., Song Y., Cai L. Effect of percutaneous transforaminal lumbar spine endoscopic discectomy on lumbar disc herniation and its influence on indexes of oxidative stress // Biomed. Research. - 2017. - Vol. 28, N 21. - P. 9464-9469.
补充文件
![](/img/style/loading.gif)