小切口开窗髓核摘除手术与椎间盘镜治疗腰椎间盘突出症临床疗效对比分析.docVIP

小切口开窗髓核摘除手术与椎间盘镜治疗腰椎间盘突出症临床疗效对比分析 　　[摘要] 目的 对比分析小切口开窗髓核摘除手术与椎间盘镜治疗腰椎间盘突出症的临床疗效。方法 回顾性分析2013年1月～2014年5月来我院就诊的136例腰椎间盘突出症患者的临床资料，按照治疗使用的手术方法分为I组（采用小切口开窗髓核摘除手术治疗）和II组（采用椎间盘镜治疗），每组68例，比较两组临床疗效、手术时间、术中出血量、住院时间及腰椎功能改善率。 结果 ①I组有效率为91.18%，II组为80.89%，I组与II组比较有效率明显较高，差异有统计学意义（P0.05）。②I组与II组比较，平均手术时间及平均住院时间明显较短，平均术中出血量明显较少，术后2年JOA改善率明显较高，差异有统计学意义（P0.05）。 结论 腰椎间盘突出症患者采用小切口开窗髓核摘除手术治疗的临床效果与椎间盘镜手术相近，在治疗时应根据具体的情况及适应症选择手术方法，以提高治疗效果。 　　[关键词] 小切口开窗髓核摘除术；椎间盘镜；腰椎间盘突出症 　　[中图分类号] R681.5+3 [文献标识码] B [文章编号] 1673-9701（2014）27-0018-03 　　[Abstract] Objective To compare the clinical efficacy of small incision discectomy surgery and discectomy for lumbar disc herniation. Methods A total of 136 cases of patients with lumbar disc herniation were retrospective analyzed， they were collected from January 2013 to May 2014 to our hospital， according to treatment using surgical methods they were divided into group I （used a small incision discectomy surgery ） and group II （used discectomy treatment）， 68 cases in each group. The clinical efficacy， operative time， blood loss， hospital stay and lumbar functional improvement rate of two groups were compared. Results （1）The efficiency rate of group I was 91.18%， group II was 80.89%， The efficiency rate of group I was higher than group II， the difference was statistically significant （P0.05）. （2）The mean operative time and the average hospital stay of group I was significantly shorter than the control group， average significantly less blood was loss， postoperative JOA 2-year improvement rate was significantly higher， the difference was statistically significant （P0.05）. Conclusion Patients with lumbar disc herniation with small incision discectomy surgery clinical results with similar discectomy in treatment should be based on the specific circumstances and choice of surgical indications for ways to improve the therapeutic effect. 　　[Key words] Small incision discectomy； Discectomy； Lumbar disc herniation 　　腰椎间盘突出症是一种常见病、多发病，其是由于髓核突出压迫神经根，刺激相邻的组织发生病