椎间盘镜与开放手术治疗腰椎管狭窄症的临床观察  

Clinical effect of decompression by microendoscopic disectomy versus posterior approach open operation in the treatment of lumbar spinal stenosis

作　　者：杨德顺[1] 王开明[1] 黄明[1] 廖亮[1] 

机构地区：[1]安徽省蚌埠市第三人民医院骨科,233000

出　　处：《淮海医药》2011年第4期289-291,共3页Journal of Huaihai Medicine

基　　金：安徽省蚌埠市科技局2008年立项课题(200806)

摘　　要：目的观察后路椎间盘镜(MED)与开放手术治疗腰椎管狭窄症的临床疗效。方法 2004～2010年收治腰椎管狭窄症患者48例,采用椎间盘镜下手术减压24例;通过后路开放手术24例,观察2组手术疗效。结果按Nakai标准评价手术疗效,2组优良率比较差异无显著性(P>0.05)。MED组较开放手术组手术时间短,术中出血量少,住院时间短。结论椎间盘镜下减压治疗腰椎管狭窄症创伤小,出血少,术后疗效满意。Objective To observe the clinical effect of decompression by microendoscopic disectomy（MED） versus posterior approach open operation in the treatment of lumbar spinal stenosis.Methods 48 patients from 2004 to 2010 with lumbar spinal stenosis were randomized into two groups.24 patients in group A underwent MED while 24 patients in group B received open operation.Results Therapeutic effect was evaluated by Nakai standard.There was no significant difference between the two groups（P0.05）.Conclusion Decompression by microendoscopic disectomy through posterior approach in the treatment of lumbar spinal stenosis is characterized by less severe trauma,less blood loss,and satisfactory clinical effects.

关 键 词：椎管狭窄 椎间盘镜 减压术 外科 

分 类 号：R681.5[医药卫生—骨科学]