腰间盘突出微创治疗的临床研究.docVIP

腰间盘突出微创治疗的临床研究 　　doi：10.3969/j.issn.1007-614x.2014.11.32 　　摘 要 目的：探讨微创治疗腰间盘突出的临床效果。方法：收治腰间盘突出患者62例，按照就诊顺序随机分为观察组（31例）与对照组（31例），观察组实施微创手术治疗，对照组实施保守治疗，对两组的临床疗效进行对比分析。结果：经临床治疗，观察组在治疗有效率上明显高于对照组（96.77% VS 77.42%），疼痛评分明显低于对照组[（2.2±1.2）VS （4.8±1.3）]，差异有统计学意义（P0.05）。结论：微创手术治疗腰间盘突出，可提高治疗有效率，促进疾病恢复，效果确切，安全有效。 　　关键词 腰间盘突出 微创手术 临床疗效 　　Clinical study of minimally invasive treatment for lumbar disc herniation 　　Liao Yuchang 　　Department of Orthopedics，the Traditional Chinese Medicine Hospital of Qiaojia County，Zhaotong City，Yunnan 654600 　　Abstract Objective：To explore the clinical effect of minimally invasive treatment for lumbar disc herniation.Methods：62 patients with lumbar disc herniation were selected，they were randomly divided into the observation group（31 cases） and the control group（31 cases） according to the order of the treatment.The observation group received the minimally invasive operation treatment，control group received conservative treatment.The clinical efficacy of the two groups were compared.Results：In the observation group，the efficiency was significantly higher than the control group（96.77% VS 77.42%），pain scores were significantly lower than those in the control group（2.2±1.2 VS 4.8±1.3）.There were significant differences between the two groups（P0.05）.Conclusion：Minimally invasive operation in the treatment of lumbar disc herniation can effectively improve the treatment efficiency and promote the recovery of the disease.Its effect is definite and safe. 　　Key words Lumbar disc herniation；Minimally invasive operation；Clinical curative effect 　　资料与方法 　　2011年11月-2012年11月收治腰间盘突出患者62例，按照就诊顺序随机分为观察组与对照组，观察组31例，男19例，女12例，年龄32～67岁，平均（48.9±6.7）岁；突出型19例，膨隆型7例，脱垂游离型5例。对照组31例，男20例，女11例，年龄34～68岁，平均（49.7±6.1）岁；突出型18例，膨隆型8例，脱垂游离型5例。两组在年龄、性别及临床分型等方面比较，差异无统计学意义（P0.05），有可比性。 　　临床诊断：①62例患者均经CT、X线辅助检查，确诊为腰间盘突出，多数患者有不同程度的腰部扭伤病史；②所有患者均有不同程度的神经受压、括约肌功能异常或肌肉瘫痪等临床症状；③病情反复发作且逐渐加重；④伴有不同程度的椎管狭窄。 　　治疗方法：①对照组实施保守治疗，包括卧床休息，不可随机活动；药物治疗：给予β-七叶皂苷钠，静脉滴注，0.2mg/（kg?次），1次/日，若为神经根水肿