微创经椎间孔腰椎融合术与椎间孔镜腰椎间盘摘除术在腰椎间盘突出症治疗中对比分析.docVIP

微创经椎间孔腰椎融合术与椎间孔镜腰椎间盘摘除术在腰椎间盘突出症治疗中对比分析 　　[摘要] 目的 分析腰椎间盘突出症的手术治疗方法和效果。方法 整群选取该院2014年1月―2015年12月收治的52例腰椎间盘突出症患者作为研究对象，随机分为两个组别。对照组（经椎间孔腰椎融合术）、试验组（椎间孔镜腰椎间盘摘除术）各26例，观察比较治疗效果。结果 试验组手术、住院时间短，术中出血量少，手术指标优于对照组；术后6个月患者VAS评分、ODI评分、JOA评分为（1.6±0.3）分、（20.5±1.9）分、（18.6±4.2）分，对照组为（2.4±0.5）分、（26.6±2.4）分、（16.1±3.7）分。P0.05，差异有统计学意义。结论 针对腰椎间盘突出症患者，椎间孔镜腰椎间盘摘除术疗效优于经椎间孔腰椎融合术，推荐选用。 　　[关键词] 腰椎间盘突出症；腰椎融合术；腰椎间盘摘除术 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）05（c）-0103-03 　　[Abstract] Objective To analyze the operative treatment method and effect of protrusion of lumbar intervertebral disc. Methods 52 cases of patients with lumbar intervertebral disc treated in our hospital from January 2014 to December 2015 were selected as the research objects and randomly divided into two groups with 26 cases in each， the control group were treated with transforaminal lumbar interbody fusion， the test group were treated with percutaneous transforaminal endoscopic lumbar intervertebral discectomy， and the treatment effects were observed and compared. Results The operation time and length of stay in the test group were short， and the intraoperative blood loss was less， the operative indexes in the test group were better than those in the control group； the VAS， ODI and JOA scores were respectively （1.6±0.3） marks， （20.5±1.9） marks and （18.6±4.2） marks in the test group and （2.4±0.5） marks， （26.6±2.4） marks and （16.1±3.7） marks in the control group in postoperative 6-month， and the differences had statistical significance. Conclusion The curative effect of percutaneous transforaminal endoscopic lumbar intervertebral discectomy is better than that of transforaminal lumbar interbody fusion for patients with protrusion of lumbar intervertebral disc， which is recommended to be selected. 　　[Key words] Protrusion of lumbar intervertebral disc； Lumbar interbody fusion； Lumbar intervertebral discectomy 　　腰椎间盘突出症是骨科常见病变，属于退行性病变类型，临床症状表现为腰部疼痛、下肢麻木，影响正常的工作和生活[1]。临床调查显示，80%的患者经保守治疗能够获得良好效果，但20%的患者需要实施手术治疗。就目前而言手术