med术治疗腰间盘突出症的临床观察.pdfVIP

摘 要 MED 术治疗腰椎间盘突出症的临床观察 研究生：毛里提拜克 导师：黄异飞 副教授 摘 要 目的：通过回顾性研究，观察并评估显微内窥镜椎间盘摘除术术后患者的腰腿 疼痛、身体功能康复情况，并分析其影响因素。方法：随访研究64 例行显微内窥镜 椎间盘摘除术患者，平均随访时间 18.3 个月（7～28 个月）。利用Oswestry 功能障 碍指数评估疼痛和身体功能恢复状况评定术后疗效，并对一些影响疗效的因素进行 分析。结果：随访时2 例患者已行再手术治疗，再手术率3.1% 。62 例患者随访时总 优良率为91.9%，ODI 平均值为16.79，与术前比较，随访时ODI 值平均下降为52.47 。 41 例（66.1% ）患者轻度功能障碍（平均值9.22 ），16 例（25.8% ）中度功能障碍（平 均值27.08 ），5 例（8.1% ）重度功能障碍（平均值46 ）。随访时ODI 值与ODI 下降 值的术后疗效差异有统计学意义（P0.05 ）。结论：1、显微内窥镜椎间盘摘除术治 疗腰椎间盘突出症的疗效确切。2 、适度的劳动强度、合理的劳动习惯可提高术后疗 效，促进疼痛缓解和身体功能的康复。 关键词：间盘镜；腰椎间盘突出症；ODI ；疗效 —1— 新疆医科大学医学硕士学位论文 Clinical observation on surgical treatment of lumbar disc herniation with Microendoscopic discectomy Postgraduate ：Maolitibaik Supervisor: Prof. Yifei Huang Abstract Objective: To investigate the Microendoscopic discectomy surgery in patients with lumbar disc herniation, pain, and to analyse the disability, and psychological factors retrospectively. Methods: The retrospective follow-up study of 64 patients with Microendoscopic discectomy, with an average follow-up time of 18.3 months (7 ~ 28 months). Oswestry Disability Index was assessed the use of pain, disability, and psychological factors recovery of the situation. The treatment outcome and the factors was evaluated by direct questioning and examination using Oswestry Disability Index. Results: 2 re-operation patients had been in treatment, re-operation rate of 3.1%. The other 62 patients (ODI average of 16.79 points) who overall excellent to good results were achieved in 91.9% of the cases, ODI we