后路内窥镜下腰椎间盘切除术治疗腰椎间盘突出症的效果观察.docVIP

后路内窥镜下腰椎间盘切除术治疗腰椎间盘突出症的效果观察 　　摘要：目的 探讨内窥镜后路下腰椎间盘切除术治疗腰椎间盘突出症的有效性。方法 选择我院自2011年5月～2015年6月收治的37例腰椎间盘突出症患者的临床资料，全部患者均给予内窥镜后路下腰椎间盘切除术治疗。结果 全部患者手术均顺利完成，平均时长（98.7±10.4）min；术中平均出血量（21.7±8.7）ml。全部患者术后当日即可下床活动，术后未出现严重并发症。给予VAS评分发现，患者治疗后1d与治疗后3个月VAS评分较治疗前比较，有明显改善（P0.05），根据MacNab评分评价标准，本组患者治疗后优19例，良11例，可5例，差2例，优良率94.6%。结论 内窥镜后路下腰椎间盘切除术治疗椎间盘突出症疗效确切，患者损伤小、恢复快，是有效的治疗椎间盘突出症的手术方法。 　　关键词：内窥镜；腰椎间盘切除术；腰椎间盘突出症；骨科临床 　　Observation on the Effect of Posterior Lumbar Intervertebral Disc Resection in the Treatment of Lumbar Disc Herniation 　　LI Cheng-nan，ZHANG Hong-wei，YIN Bao-he 　　（Department of Orthopedics，Hezhou City Hospital of Traditional Chinese Medicine，Hezhou 542899， Guangxi，China） 　　Abstract：Objective To investigate the effectiveness of the treatment of lumbar disc herniation in the treatment of lumbar disc herniation. Methods the clinical data of 37 patients with lumbar disc herniation from June 2015 to May 2011 were selected， and all patients were treated with endoscopic posterior approach. Results All patients were successfully completed， the average length of time （98.7 ±10.4） min； the average bleeding volume （21.7 ±8.7） ml. All patients could get out of bed at the same day， and there were no serious complications after operation. The VAS score was found to be significantly improved （P0.05） after treatment with VAS and 3 months after treatment， according to MacNab score， 19 cases were excellent， 11 cases were good， 5 cases were poor， the good rate was 94.6%. Conclusion The treatment of lumbar disc herniation in the treatment of lumbar disc herniation is effective， and the patients with small trauma and fast recovery are effective. 　　Key words：Endoscopic posterior approach lumbar disc resection； Lumbar disc herniation； Department of orthopedics clinical 　　临床研究指出，90%的椎间盘疾病发生于L3～S1节段，其常会引起患者发生腰背痛、坐骨神经痛、肢体麻木等症状，严重影响患者的生活质量。目前，椎间盘髓核摘除术及神经根通道清理术是治疗L3～S1节段常用且有效的方法。近几年，微创手术在临床得到广泛应用，采用内窥镜监控下行椎间盘切除术也受到临床的广泛应用[1]。本组研究，通过采用内窥镜后路下腰椎间盘切除术对腰椎间盘突出症患者进行治疗，观察其临床疗效及优势，旨在为临床治疗提供参考，现报告如