椎间盘镜与椎板开窗治疗单节段腰椎间盘突出症的对比分析(1)
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【摘要】目的 比较椎间盘镜和椎板开窗治疗单节段腰椎间盘突出症的效果，为临床治疗方案的选择提供参考。方法 选择我院2008年8月～2010年7月收治的单节段腰椎间盘突出症患者90例，随机分为对照组和观察组各45例。对照组患者采用椎板开窗术治疗，观察组患者采用椎间盘镜手术治疗。观察并比较两组患者手术时间、术中出血量、住院时间的差异。术后随访1年，比较两组患者JOA评分改善情况的差异。结果 与对照组比较，观察组住院时间较短，术中出血量较少，差异均有统计学意义(p<0.05)。两组患者手术时间、JOA评分改善情况比较，差异无统计学意义(p>0.05)。结论 采用椎间盘镜和椎板开窗两种术式均可有效改善单节段腰椎间盘突出症症状，椎间盘镜具有手术创伤小、术后康复快等优点，值得临床推广应用。
【关键词】椎间盘镜 椎板开窗 单节段 腰椎间盘突出症
中图分类号：R681.533文献标识码：B文章编号：1005-0515(2011)12-052-02
Discectomy and laminectomy window treatment of single-segment comparative analysis of lumbar disc herniation
WANG Hualin
(Third People's Hospital of Zigong City, Sichuan Province, Sichuan Zigong 643000)
【Abstract】Objective To compare the fenestration discectomy and laminectomy treatment of single lumbar disc herniation results, treatment options for clinical reference. Methods A hospital in August 2008 - July 2010 admitted to a single lumbar disc herniation, 90 patients were randomly divided into control group and observation group of 45 cases. The control group were treated with laminectomy fenestration treatment, observation group were treated with discectomy surgery. Observe and compare the two groups were operative time, blood loss, length of stay differences. Patients were followed up 1 year, two groups were compared JOA score difference to improve the situation. Results Compared with control group, the observation group shorter hospital stay, less blood loss, the differences were statistically significant (p <0.05). The two groups were operative time, JOA score improvement, the difference was not statistically significant (p> 0.05). Conclusion discectomy and laminectomy of two surgical fenestration single segment can be effective in improving symptoms of lumbar disc herniation, discectomy with surgical trauma, faster postoperative recovery, etc., is worthy of clinical application.
【Keywords】Discectomy laminar window single segment lumbar disc herniation
手术是临床治疗腰椎间盘突出症的主要手段之一，椎板开窗髓核摘除术是传统标准术式，其确切的治疗效果已得到临床一致公认。近年来，随着微创技术的发展，椎间盘镜以其创伤小、恢复快等优点而越来越广泛的应用于临床[1]。我院对比了椎间盘镜和椎板开窗两种术式的临床效果，现将结果分析报告如下：
1 资料与方法
1.1 一般资料
选择我院2008年8月～2010年7月收治的单节段腰椎间盘突出症患者90例，临床均有腰痛、单侧下肢疼痛等表现，并经腰椎CT、MRI等影像学检查结果确定手术节段。术前均经系统的保守治疗3个月无效或反复发作。
采用随机数字表法将全部患者随机分为对照组和观察组 ......
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