椎间盘镜下髓核摘除术治疗青壮年腰椎间盘突出症的临床疗效及并发症分析  

Curative Effect of Microendoscopic Discectomy on Young Adults with Lumbar Disc Herniation and Complication Analysis

作　　者：浦小兵 杨双石[1] 曹海泉[1] 荆兴泉[1] 

机构地区：[1]解放军188医院脊柱外科,广东潮州521000

出　　处：《西南军医》2014年第4期361-364,共4页Journal of Military Surgeon in Southwest China

摘　　要：目的探讨后路椎间盘镜下髓核摘除术(Microendoscopic Discectomy,MED)治疗青壮年腰椎间盘突出症的临床疗效及并发症。方法回顾性分析623例青壮年腰椎间盘突出症行后路椎间盘镜下髓核摘除术治疗的临床资料。疗效评定采用疼痛视觉类比评分(VAS)和Oswestry功能障碍指数评分(ODI)。结果术后3月VAS、ODI评分与术前比较差异有统计学意义(P<0.05),发生并发症47例,发生率7.54%,术后经过营养神经、硬膜囊修补及再手术、抗感染等治疗,所有病例均治愈。结论后路椎间盘镜治疗腰椎间盘突出症治疗青壮年腰椎间盘突出症具有损伤小、出血少、病人住院时间短的优点,医生熟悉掌握椎间盘镜的常规操作及镜下腰椎间盘的解剖可大大减少该手术的并发症。Objective To investigate the curative effect of microendoscopic discectomy （MED） through posterior approach on young adults with lumbar disc herniation and the occurrence of complications. Methods A retrospective analysis was made to the clini-cal data of 623 young adults with lumbar disc herniation treated by MED;Visual-analogue Scale （VAS） and Oswestry Disability Index （ODI） were applied in curative effect evaluation. Results There existed a statistical difference between the scores of VAS and ODI be-fore operation and those 3 months after operation （P〈0.05）;complication occurred in 47 cases with the rate of 7.54%;after correlated treatment, all patients healed and discharged. Conclusions MED for young adults with lumbar disc herniation is of such advantages as small trauma, less bleeding and shorter time of hospitalization;good command of the operation of intervertebral disc endoscope and the anatomic structure of lumbar disc can help decrease the occurrence of complications greatly.

关 键 词：椎间盘镜 腰椎间盘突出 临床疗效 并发症 

分 类 号：R681.5[医药卫生—骨科学]