经皮椎间盘切吸术的应用价值  

Application value of percutaneous lumbar discectomy

作　　者：袁朝勇 黄燕辉 

机构地区：[1]河池市中医医院外二科,547000

出　　处：《中国实用医药》2014年第28期12-13,共2页China Practical Medicine

基　　金：经皮椎间盘切吸术(PLD)治疗椎间盘突出症的临床应用研究(项目编号:河科转114402)

摘　　要：目的对经皮椎间盘切吸术在治疗腰椎间盘突出症中的价值进行分析与探讨。方法 90例接受治疗的腰椎间盘突出症患者随机分为三组,即对照组1、对照组2与观察组。对对照组1患者实施传统小开窗手术治疗;对对照组2患者实施保守治疗;对观察组患者实施经皮椎间盘切吸术治疗,然后对比三组患者治疗后的Macnab与VARS评分。结果对三组患者实施相应治疗后,观察组患者治疗优良率90.0%,对照组1和对照组2患者治疗优良率为80.0%、26.7%,观察组和对照组2比较,差异具有统计学意义(P<0.05);观察组和对照组1比较,差异无统计学意义(P>0.05);观察组患者VARS评分与Macnab评分均优于对照组1、2,差异具有统计学意义(P<0.05)。结论研究表明,经皮椎间盘切吸术能够有效治疗腰椎间盘突出症,值得临床应用与推广。Objective To analyze and investigate the value of percutaneous lumbar discectomy in the treatment of protrusion of lumbar intervertebral disc. Methods A total of 90 cases of protrusion of lumbar intervertebral disc were randomly divided into three groups as the 1st control group, the 2nd control group and the observation group. The 1st control group was treated by conventional small fenestration operation, and the 2nd control group was treated by conservative treatment, while the observation group received percutaneous lumbar discectomy. Scores of Macnab and VARS were compared in the groups after treatment. Results After receiving corresponding treatment, the good rate of the observation group was 90.0%, and those of the 1st and 2nd control groups were 80.0%and 26.7%. The difference between the observation group and 2nd control group was statistically significant （P〈0.05）, and the difference between the observation group and the 1st control group had no statistical significance （P〉0.05）. Scores of VARS and Macnab in the observation group were all better than those in the two control groups, and the differences were statistically significant （P〈0.05）. Conclusion The study shows that percutaneous lumbar discectomy is an effective method for treating potrusion of lumbar intervertebral disc, and it is worthy of clinical application and promotion.

关 键 词：腰椎间盘突出症 经皮椎间盘切吸术 应用价值 

分 类 号：R687.3[医药卫生—骨科学]