运用后路椎间盘镜下髓核摘除治疗腰椎间盘突出症的临床研究  

Research on the results of using posterior micro-endoscopic discectomy to treat lumbar disc herniation

作　　者：韩春鸣[1] 常德海[1] 康万年[1] 丁国建[1] 周强 

机构地区：[1]解放军第十医院骨科,武威733000 [2]成都363医院骨科

出　　处：《陕西医学杂志》2015年第8期963-965,共3页Shaanxi Medical Journal

基　　金：四川省科技厅攻关基金课题(05SGD22-088)

摘　　要：目的:探讨后路椎间盘镜下髓核摘除手术治疗腰椎间盘突出症的手术效果。方法 :对解放军第十医院2012年6月至2014年1月之间的140例腰椎间盘突出症患者随机分组,分别给予后路椎间盘镜下髓核摘除术和椎板间开窗髓核摘除术,对其手术效果、不良反应、Oswestry功能障碍指数进行研究和分析。结果:实验组患者平均术后可下床活动天数为3.5±4.5d,平均术后住院天数为6.5±11d,平均手术时间为45±20min,平均出血量在60±20ml,均明显优于传统椎板间开窗髓核摘除术。实验组Macnab评分优良率为92.9%,Oswestry功能障碍指数术后优于术前。结论:后路椎间盘镜下髓核摘除术在治疗腰椎间盘突出症方面,有在临床上进一步使用和推广的价值及前景。Objective： Explore the operation effects of using posterior micro-endoscopic discectomy to treat lumbar disc herniation. Methods： 140 cases who had lumbar disc herniation from Tenth Hospital of PLA between 2012 June and 2014 January were random assigned, one group were given posterior micro-endoscopy discectomy, one group were treated by intervertebral fenestration discectomy. Analysis the operation effect, adverse reaction and Oswestry disability index. Results： The average activity days of group MED was 3.5±4.5, The average hospitalization days of group MED was 6.54-11, the average operation time of group MED was （454-20） min, the aver- age bleeding quantity of group MED was （60 ± 20） ml. These indexes were better than those of group intervertebral fenestration discectomy. The rate of MED＇s Macnab score were 91.1%, The score of postoperative＇s Oswestry disability index is better than preoperative. Conclusion ：Posterior micro-endoscopy discectomy is good at treating lumbar disc herniation and it has prospect in clinical for further use and promotion.

关 键 词：椎间盘移位 @后路椎间盘镜下髓核摘除 

分 类 号：R681.5[医药卫生—骨科学]