小切口开窗式髓核摘除术治疗腰椎间盘突出症临床分析  

Clinical Analysis of Small Incision Fenestration Discectomy in the Treatment of Lumbar Disc Herniation

作　　者：刘钰[1] 李洪波 钱玮[1] 

机构地区：[1]山东省邹城市兖矿集团有限公司总医院,山东邹城273500 [2]山东省泗水县中医院

出　　处：《中国医学创新》2015年第5期48-50,共3页Medical Innovation of China

摘　　要：目的:分析小切口开窗式髓核摘除术治疗腰椎间盘突出症的临床疗效。方法:选取本院2011年4月-2013年4月收治的40例腰椎间盘突出症患者为研究对象,随机将其分为两组,各20例,对照组患者行常规手术治疗,试验组患者给予小切口开窗式髓核摘除术治疗,对两组手术情况及治疗效果进行对比分析。结果:试验组优8例(40%),良8例(40%),优良率80%;对照组优4例(20%),良8例(40%),优良率60%,两组比较差异有统计学意义(P<0.05)。此外,两组患者手术时间、术中出血量及卧床时间比较差异均有统计学意义(P<0.05)。结论:相比常规手术,小切口开窗式髓核摘除术具有创伤小、手术时间短、术后恢复快等特点,可作为腰椎间盘突出症治疗的主要手段。Objective：To analyze the clinical effect of small incision fenestration pulposus discectomy for lumbar disc herniation. Method：40 cases of lumbar in our hospital in 2011 April to 2013 April were disc herniation patients as the research object,and randomly divided into two groups,each of 20 cases,the control group underwent conventional operation treatment,the patients in the experimental group received small incision fenestration discectomy treatment, carries on the contrast analysis to the situation and the treatment the operation effect of the two groups.Result：8 cases of the experimental group one（40%）,good in 8 cases（40%）,the excellent and good rate was 80%;the control group was excellent in 4 cases（20%）,good in 8 cases（40%）,the excellent and good rate was 60%,there was significant difference between two groups（P〈0.05）.In addition,the two groups had statistical significance of operative time,intraoperative bleeding volume and time of lying in bed in the differences（P〈0.05）.Conclusion：Compared with conventional surgery,small incision fenestration discectomy with little trauma,short operation time,rapid postoperative recovery characteristics,can be used as the main means of the treatment of lumbar disc herniation.

关 键 词：小切口开窗式髓核摘除术 腰椎间盘突出症 常规手术 疗效 

分 类 号：R687.3[医药卫生—骨科学]