腰椎间盘突出微创治疗经验总结.docVIP

腰椎间盘突出微创治疗经验总结[摘要] 目的 对微创治疗腰椎间盘突出症的治疗方法及临床疗效进行总结。方法 以我院60例腰椎间盘突出症患者作为本组研究病例，随机分为观察组和对照组，每组30例，对照组患者采用传统的手术方法，观察组患者采用内镜下椎间盘切除手术，对两组患者的康复时间，创口，以及术后情况进行对比和分析。结果 采用内镜下椎间盘切除手术的观察组患者，手术切口小，患者痛苦小，在术后1周，28例患者的症状全部得到缓解，2例患者也明显好转；对照组采用传统的手术方法，10例在术后10天症状得到缓解，术后1个月，30例患者症状明显好转。结论 采用微创方法治疗腰椎间盘突出，患者痛苦小，术后恢复快，住院时间短，同时减轻患者的经济负担，值得临床推广。 [关键词]腰椎间盘突出； 微创； 疗效； 方法； 经验 [中图分类号] R274.34[文献标识码] B[文章编号] 1005-0515（2011）-02-010-01 [Abstract] Objective to minimally invasive treatment prolapse of lumbar intervertebral disc treatments and clinical efficacy were summarized in this paper. Methodsto tifert 60 cases prolapse of lumbar intervertebral disc patients as group study cases were randomly divided into trial group and control group, each group of 30 cases of control group were treated by traditional surgical method, the observation group were treated by endoscopic surgery for disc two sets of patients recovery time, wound, and post-operative by comparing and analyzing. Resultsthe endoscopic surgery of intervertebral disc observation group patients, surgical incision small, little pain, in postoperative 1 week, and 28 cases all symptoms in patients with ease, 2 cases of patients also improved obviously, Were treated by traditional surgical method, 10 cases in 10 days postoperatively symptoms ease after one month, 30 patients symptoms improved obviously. Discussion adopt minimally invasive treatment lumbar intervertebral disc, little pain, postoperative recovery and shorter hospitalization time, and reduce the economic burden, and patients with clinical promotion. [Keywords]lumbar intervertebral disc minimally invasive curative effect methods experience 腰椎间盘突出症是一种常见的腰椎疾病，是造成人们腰腿疼痛的主要因素，腰椎间盘突出一直都采用保守的治疗和开放性手术，使患者痛苦不堪。近年来，随着微创技术在我国医疗行业中不断的发展，开始被应用于治疗腰椎间盘突出的临床治疗中。采用微创介入手术方法，对患者造成的痛苦小，恢复快，术后并发症少，同时也减少的患者的住院时间，减轻了患者经济负担。本文针对微创手术在治疗腰椎间盘突出症的方法和疗效进行了详细的研究，先将报告如下： 1 临床资料 本组研究病例选择2008年10月-2009年10月我院接诊的60例腰椎间盘突出症患者，其中男42例，女18例，年龄最大63岁，最轻22岁，其中，椎间盘L4-5椎间盘突出患者21例，L4-5及L5S1椎间盘突出患者16例，L3