经皮穿刺切吸术与开放手术治疗腰椎间盘突出症的疗效对比  

Comparison of Clinical Effect of Percutaneous Nuclectomy and Open Surgery in the Treatment of Prolapse of Lumbar Intervertebral Disc

作　　者：刘志奎[1] 杨建惠[1] 牟朋林 曹安军[1] Liu Zhikui et al(Guangzhou Xinhai Hospital ,Guangzhou 510000)

机构地区：[1]广州新海医院,广州510000

出　　处：《数理医药学杂志》2017年第2期207-208,共2页Journal of Mathematical Medicine

摘　　要：目的:对比分析采用经皮穿刺切吸术与开放手术治疗腰椎间盘突出症的疗效。方法:选择某院2013年7月~2015年7月收治确诊的腰椎间盘突出症患者66例为研究对象,回顾性分析其临床资料,根据手术方式分为开放手术组(30例)与穿刺切吸组(36例),随访1年,观察两组患者优良率、并发症与1年的复发情况。结果:两组的治疗优良率无显著性差异(P>0.05);穿刺切吸组并发症率显著低于开放手术组(P<0.05);随访1年,两组复发率差异无统计学意义(P>0.05)。结论:采用经皮穿刺切吸术治疗腰椎间盘突出症,与开放手术治疗相比较,其疗效相当,效果确切,复发率低,但并发症更少,具有临床推广应用价值。Objective：To compare and analyze the clinical effects of percutaneous nuclectomy and open surgery in the treatment of prolapse of lumbar intervertebral disc.Methods：66patients with diagnosed lumbar disc herniation treated in a hospital from July 2013 to July 2015 were selected as research objects,and patients＇ clinical data were retrospectively analyzed.All patients were divided into open surgery group（30cases）and percutaneous nuclectomy group（36cases）according to the operation method.Then after 1year of followup,the excellent rate,complications and recurrence in 1year of two groups were observed.Results：There was no significant difference in the excellent treatment rate between the two groups（P〉0.05）;The complication rate of percutaneous nuclectomy group was significantly lower than that of open surgery group（P〈0.05）.There was no significant difference in the recurrence rate between the two groups after 1year of follow-up（P〈0.05）.Conclusion：Compared with open surgery,the clinical effect of percutaneous nuclectomy in the treatment of prolapse of lumbar intervertebral disc is quite,the effect is exact,with low recurrence rate and less complication,which is worthy of clinical application.

关 键 词：腰椎间盘突出症 开放手术 经皮穿刺切吸术 

分 类 号：R687.3[医药卫生—骨科学]