两种微创术式治疗腰椎间盘突出症的疗效分析  

Efficacy Analysis on Lumbar Disc Herniation Treated with Two Kinds of Minimally Invasive Surgery

作　　者：陈铁峰 李仁杰[3] 周雄华 

机构地区：[1]茂港区羊角医院骨科,广东茂名525032 [2]电白县人民医院骨科,广东茂名525400 [3]莆田学院附属医院,福建莆田351100

出　　处：《按摩与康复医学》2013年第5期181-183,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：分析和比较后路椎间盘镜和激光联合臭氧两种微创术式治疗腰椎间盘突出症的临床疗效。方法：对49例诊断为腰椎间盘突出症行微创手术治疗的患者进行回顾性分析，其中接受后路椎间盘镜手术28例，接受激光消融联合臭氧治疗21例。结果：激光联合臭氧组在切口长度、术中出血量、手术时间及住院时间均优于后路椎间盘镜组（P〈0．05），但一临床意义不大；两组术后近期疗效相当（P〉0．05）。结论：两种微创术式治疗腰椎间盘突出症疗效没有明显差异，都是值得推广的安全有效的微创手术方法。Objective： To analyze and compare the clinical efficacy of lumbar disc herniation treated with posterior diskoscope and la ser combined ozone, two kinds of minimally invasive surgery. Methods： 49 patients with lumbar disc herniation in the treatment of minimally invasive surgery were analyzed retrospectively, including 28 cases of posterior diskoscope, and 21 cases of laser ablation combined with ozone. Results： Incision length, operative blood loss, operation duration and hospital stays in group of laser com bined with ozone were all better than those in group of posterior diskoscope （P〈0.05）, yet with little clinical significance; postopera tive shortterm efficacy of two groups was the same （P〉0.05）. Conclusion： There is no significant difference between the two kinds of minimally invasive surgery treating lumbar disc herniation, which are both safe and effective methods of minimally invasive sur gery being worthy of popularization.

关 键 词：腰椎间盘突出症 椎间盘镜 激光联合臭氧 微创 

分 类 号：R681.53[医药卫生—骨科学]