后路椎间盘镜治疗青少年腰椎间盘突出症的手术及疗效分析  

Curative effect of posterior diskoscope discectomy for adolescent lumbar disc herniation

作　　者：王桂峰[1] 杜伟[1] 白亚菲[1] 王小林[1] 张宏伟[1] 

机构地区：[1]吉化集团公司总医院北华大学第二附属医院骨科,吉林吉林130021

出　　处：《中国医师进修杂志》2014年第14期13-16,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 分析后路椎间盘镜治疗青少年腰椎间盘突出症的手术疗效.方法 对11例青少年腰椎间盘突出症患者采用后路椎间盘镜治疗,观察比较术前及术后3,6,12个月日本骨科学协会（JOA）下腰痛评分.结果 术前及术后3,6,12个月JOA下腰痛评分分别为（15.45±2.73）、（27.18±2.08）、（28.18± 1.25）、（28.54±1.21）分,术前JOA下腰痛评分与术后3,6,12个月比较差异有统计学意义（P＜ 0.01）.随访时间1～ 10年,平均7.9年,术后随访优8例,良2例,可1例.无复发及医源性腰椎不稳.结论 后路椎间盘镜手术具有创伤小、出血少、恢复快等特点,且能与传统切开手术达到相同的减压目的,故其可作为青少年腰椎间盘突出症的有效治疗手段.Objective To study the curative effect of posterior diskoscope discectomy for adolescent lumbar disc herniation.Methods Eleven adolescent patients with lumbar disc herniation were treated with posterior diskoseope discectomy,the Japanese orthopaedic association （JOA） lower back pain score was observed and compared before operation and after operation 3,6,12 months.Results The JOA lower back pain score were （15.45 ± 2.73）,（27.18 ± 2.08）,（28.18 ± 1.25）,（28.54 ± 1.21） scores before operation and after operation 3,6,12 months,there was statistical difference in JOA lower back pain score between before operation and after operation 3,6,12 months （P 〈 0.01）.The patients were followed up for 1-10 years,mean 7.9 years,excellent was in 8 cases,good was in 2 cases,general was in 1 case.Recurrence and iatrogenic lumbar instability were not found.Conclusions The posterior diskoscope discectomy with less trauma,less bleeding,faster recovery,and can achieve the same decompression objective with the traditional open surgical.So posterior diskoscope discectomy can be used as adolescent treatment of lumbar disc herniation.

关 键 词：椎间盘移位 青少年 椎间盘切除术 椎间盘镜 

分 类 号：R681.53[医药卫生—骨科学]