小切口有限开窗技术治疗腰椎间盘突出症中期疗效分析  

Mid-term effect of small-incision limited windowing technique in the treatment of lumbar disc herniation

作　　者：丁福鹏[1] 李鸣[1] 宋之明[1] 单玉兴[1] 

机构地区：[1]吉林大学第一医院二部骨科,吉林长春130021

出　　处：《吉林医学》2010年第7期918-920,共3页Jilin Medical Journal

基　　金：吉林省科技厅基金项目资助课题(项目编号:200905179)

摘　　要：目的:比较小切口有限开窗手术治疗与传统手术方法治疗腰椎间盘突出症的中期疗效分析。方法:采用日本矫形外科协会(JOA)关于下腰痛的评分系统评价采用小切口有限开窗治疗的118例与采用传统手术方式治疗的107例腰椎间盘突出症患者的中期疗效。结果:小切口组与传统手术组在总体治疗改善率、主观症状和日常活动受限改善率差异均有统计学意义(P>0.05),而在体征改善率方面差异无统计学意义(P>0.05)。结论:小切口有限开窗术治疗腰椎间盘突出症是一种简单、并发症少、患者满意度高、疗效好的手术术式,正确的手术技法和精细的操作是保障手术安全的前提之一。术前准确评估,术中精确定位及正确的手术技法有助于术中减少开窗范围,进一步提高小切口有限开窗技术的疗效。Objective To compare the mid-term curative effect of small-incision limited windowing technique and traditional operation in the treatment of 1umbar disc herniation.Method Data of 118 patients with lumbar disc herniation underwent small-incision limited windowing technique from March 2001 to June 2004 and 107 patients who received traditional operation were analysed,the scoring system of Japanese Orthopaedic Association（JOA） were applied to evaluate their curative effect.Results There were significant differences concerning to the total improvement rate,the subjective symptom and daily activity limitation improvement rate between the two groups.However,in the aspect of sign improvement rate,there was no significant differences.Conclusion Small-incision limited windowing technique is a safe,less-complication,more-satisfaction and good-effectiveness method to treat lumbar disc herniation,and correct maneuver and delicate operation is a premise to ensure its safety.Accuate evaluation before operation,precise location during operation and correct maneuver are helpful to decrease windowing length and improve curative effect.

关 键 词：小切口有限开窗术 腰椎间盘突出症 总体治疗改善率 

分 类 号：R687.3[医药卫生—骨科学]