小切口髓核摘除术治疗腰椎间盘突出症临床研究.docVIP

小切口髓核摘除术治疗腰椎间盘突出症临床研究 　　[摘要] 目的 探讨小切口髓核摘除术治疗腰椎间盘突出症的临床效果。 方法 选取本院2010年1月～2012年3月诊治的腰椎间盘突出症患者113例，根据治疗方法分为两组，47例患者采用保守治疗为对照组，66例患者采用小切口髓核摘除术治疗为观察组，治疗后随访1年，分析两组患者的临床疗效、复发情况、并发症情况。 结果 观察组优良率（98.5%）明显高于对照组（72.3%），观察组复发率（1.5%）明显低于对照组（23.4%），差异均有统计学意义（P0.05）。两组患者治疗过程中均未见严重并发症发生。 结论 小切口髓核摘除术是治疗腰椎间盘突出症的有效方法，可明显改善患者预后。 　　[关键词]小切口髓核摘除术；腰椎间盘突出症；临床研究 　　[中图分类号] R687.3 [文献标识码] B [文章编号] 2095-0616（2013）14-181-02 　　Clinical research of small incision discectomy in the treatment of lumbar disc herniation 　　LI Jiong JIAO Wenxue YANG Jianjun 　　Department of Injury Orthopaedics，the Hospital of Dingxing County in Hebei Province，Dingxing 072650，China 　　[Abstract] Objective To investigate the clinical effect of small incision discectomy in the treatment of lumbar disc herniation. Methods 113 patients with lumbar disc herniation were selected in our hospital from January 2010 to March 2012，and divided into two groups according to treatment methods.47 patients accepted conservative treatment as control group，66 patients accepted small incision discectomy treatment as observation group.The clinical effect，recurrence， complication were analyzed between the two groups during 1 year of follow-up after treatment. Results The excellent and good rate in observation group （98.5%） was significantly higher than that in control group （72.3%）.Recurrence rate in observation group （1.5%） was significantly lower than that in control group （23.4%），with significant differences （P0.05）.There was no serious complication during treatment between the two groups. Conclusion Small incision discectomy is an effective method in the treatment of lumbar disc herniation， which can significantly improve prognosis of patients. 　　[Key words] Small incision discectomy；Lumbar disc herniation；Clinical research 　　腰椎间盘突出症是临床常见的一种骨科疾病，也是腰腿酸的主要病因之一，多为机体纤维环遭到破坏后，髓核突进，然后压迫了神经根而引发，其给患者带来巨大疼痛，严重时会造成患者失去生活自理能力[1-2]。目前治疗腰椎间盘突出症的方法有两种，一种为保守治疗，一种为手术治疗，其中小切口髓核摘除术是常用手术之一[3-4]。为探讨小切口髓核摘除术治疗腰椎间盘突出症的临床效果，本院选取2010年1月～2012年3月诊治的腰椎间盘突