经皮等离子髓核成形术治疗腰椎间盘突出症.doc

中文摘要 廿的 对比研究经皮等离子髓核成形术与保守治疗治疗腰椎间盘突出症，评价经皮 等离子髓核成形手术方法的临床疗效。 方法 观察组：21例具有临床症状的腰椎间盘突出症患者采用等离子髓核成形；对照 组：同期79例具有临床症状的腰椎间盘突出症患者采用保守手术治疗作为对照 组，根据患者疼痛的视觉模拟评分法(Visual Analogue Scale/Score，简称VAS), JOA评分(Japanese Orthopaedic Association Scores)和患者主观满意度分级进彳亍 疗效评估;同时比较两组方法各项指标包括:治疗前、治疗后及近期随访时患者 疼痛的VAS分值及JOA分值，两组间平均住院吋间，并发症等。 结果 经皮等离子髓核成形术组优良率90.47%,保守治疗优良率63.29%,差别有 显著性统计学意义(P0.05)o两组各项指标之间包括治疗后及近期随访吋患者疼 痛的VAS评分及JOA评分无明显统计学意义(P0.05),经皮等离子髓核成形术 组手术前与手术后、手术前与术后3个月VAS评分、术前JOA与术后评分差别 有显著统计学意义(P0.01)平均住院吋间差别有显著性统计学意义(PV0.01);经皮 等离子髓核成形术组和保守治疗组均未发现并发症。 结论 低温等离子髓核成形术治疗椎间盘突出症具有技术简单、针对性强、安全、 微创、疗效肯定、恢复快以及易为患者接受等特点。其近期疗效肯定，临床效果 较保守治疗为佳，手术适应症必须严格掌握。 关键词： 腰椎间盘突出症， 等离子髓核成形术， 微创. ABSTRACT Objective To compare the curative effect of Lumbar disc herniation with Percutaneous Collation nucleoplasty angioplasty and conservative treatment, and evaluate the clinical effect of Nucleus pulposus angioplasty for Lumbar disc herniation. Methods Observer group: 21 eases of Lumbar disc herniation diagnosed by Physical examination, CTseanning/whieh were and/orMR imaging, were treated with Nucleus pulposus angioplasty, compared group:79 cases with conservative treatment during the same period. The clinical outcome of all Patients were evaluated by patients s degree of satisfaction and patients visual analogue seales(VAS) and Japanese Orthopaedic Association Scores (JOA). Results The rate of excellent and good results in obsen^edgroup was90.47%, it was63.29%in compared group in which there was significant difference in theclinical effect (P0.01). Between the two groups each index and recent follow-up after including treatment in patients with JOA score VAS score and no significant stastical difference (P 0.01), but there was significant stastical difference between two groups in time of treatment, (P0.01). The observation group before surgery before surgery, with surgery with 3 months after operation JOA VAS score, preoperative and postoperative scores have significant statistically significant difference (