椎间盘镜下保留黄韧带预防术后椎管内粘连的临床研究  

THE CLINICAL STUDY OF SPARED LIGAMENT PREVENTING THE DURA ADHERNCE IN THE SPINAL CANAL ON MICROENDOSCOPIC DISCECTOMY

作　　者：陈宣煌[1] 吴献伟[1] 林海滨[1] 戴建辉[1] 

机构地区：[1]莆田学院附属医院骨科,福建莆田351100

出　　处：《牡丹江医学院学报》2010年第3期19-21,共3页Journal of Mudanjiang Medical University

基　　金：福建省莆田市科技计划项目立项课题(编号:2006D10)

摘　　要：目的:探讨椎间盘镜下保留黄韧带预防术后椎管内瘢痕粘连的疗效。方法:140例腰椎间盘突出症病人随机分为2组分别进行微创椎间盘镜下髓核摘除术,区别在于黄韧带干预方式的不同。A:切除黄韧带组;B:保留黄韧带组。分别于术后3周、6周、1年进行随访。采用日本(JOA)标准进行评分,计算改善率,并行CT复查。结果:B组改善率较A组有显著性差异(A组与B组术后3周、6周、1年统计学t值分别为5.70、4.64、4.71;P<0.05),均优于A组。结论:椎间盘镜下保留黄韧带能有效的预防术后椎管内瘢痕粘连,较切除黄韧带的方法临床疗效好。Objective：To evaluate the effection of spared ligament preventing the dura adherence in the spinal canal of microendoscopic discectomy（MED）.Method：140 patients were separated mt two groups at random.Both groups were disposed with microendoscopic discectomy,differentiated from each other by flavum ligament operation.A：clear ligament;B：spared ligament.Gather materials in 3 weeks pre-operation,and 6 weeks and 1 year follow-up respectively.Theg were evaluated by the JOA（15points）,calculated the improvement ratio,CT countercheck.Result：The ratio of group B is better than group A at 3,6 weeks and 1 year（A and B：t3W=5.70、t6w=4.64、t1y=4.71.P〈0.05）.Conclusion：Spared ligamenta is an effective way of preventing the scar after the operation of disc herniation,the clinical effection is better than the method of cleared ligamenta.

关 键 词：椎间盘镜 椎管内粘连 保留黄韧带 临床研究 

分 类 号：R687[医药卫生—骨科学]