探讨椎间盘镜手术系统治疗腰椎间盘突出症临床效果.docVIP

探讨椎间盘镜手术系统治疗腰椎间盘突出症临床效果 　　[摘要] 目的 探讨椎间盘镜手术系统治疗腰椎间盘突出症的临床效果。 方法 随机选取2013年6月―2014年6月期间在该院接受治疗的腰椎间盘突出症患者100例，随机将患者分为观察组与对照组，每组患者50例。观察组患者以椎间盘镜手术法治疗；对照组患者以开放手术法治疗，对比两组患者的治疗效果。结果 观察组患者的手术治疗效果更佳，虽两组患者之间的治疗优良率差异无统计学意义（P0.05）。但观察组患者在手术切口长度、术中出血量、手术时间、住院时间等指标上明显优于对照组（P0.05）。结论 椎间盘镜手术系统治疗腰椎间盘突出症临床效果显著，并发症发生率低，患者预后良好。 　　[关键词] 椎间盘镜；腰椎间盘突出；开放手术；临床效果 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）05（c）-0042-03 　　[Abstract] Objective To observe the clinical effect of discectomy operation system for the treatment of lumbar disc herniation. Methods 100 cases of patients with lumbar disc herniation from 2013 June to 2014 June， during the period of receiving treatment in our hospital， were randomly divided into observation group and control group， 50 cases in each group of patients. The observation group patients received intervertebral disc endoscope operation therapy； control group patients were given open operation treatment， compared two groups of patients with treatment effect. Results The observation results better operation of patients in the treatment group， although the treatment between the two groups of patients the excellent and good rate was （P0.05）. But the observation group patients in the operation incision length， bleeding volume， operation time， hospitalization time and other indicators significantly better than the control group （P0.05）. Conclusion The clinical effect of the treatment of lumbar disc herniation of intervertebral disc endoscope operation system significantly， with low incidence of complications， patients with a good prognosis. 　　[Key words] Intervertebral disc endoscope； Lumbar disc herniation； Open operation； Clinical Effect 　　腰椎间盘突出症是临床上较为常见的一类骨科疾病，该病可引发腰部与下肢疼痛，影像学检查可见纤维环损伤或破裂，而髓核组织于纤维环薄弱突出[1]。临床上治疗腰椎间盘突出症的方法包括保守治疗法与外科手术法两类，其中往往以手术法可获得更理想的效果。以往，临床上多以传统开放后路椎间盘髓核摘除术对患者进行治疗，但该项术式具有创口大、肌肉损伤严重、腰椎不稳等不良特征，影响患者的恢复[2]。随着医学技术的不断发展，临床上治疗腰椎间盘突出症的外科术式逐渐由以往的开放型转为微创型，椎间盘镜手术作为腰椎间盘突出症微创手术治疗中的代表，已在临床上获得了较为广泛的应用。椎间盘镜手术创口小、视野清晰、术中对于腰椎稳定性的影响较小，利于患者的术后恢复。在该次调查中，