不同入路经皮椎间孔镜腰椎间盘切除术治疗腰椎间盘突出症的临床差异  

Clinical Difference of Percutaneous Transforaminal Endoscopic Discectomy of Different Approaches in Treatment of Prolapse of Lumbar Intervertebral Disc

作　　者：杨春鹏 刘刚 秦忠军 

机构地区：[1]广西脑科医院骨科,广西柳州545005

出　　处：《世界最新医学信息文摘》2017年第22期11-12,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探究不同入路经皮椎间孔镜腰椎间盘切除术治疗腰椎间盘突出症的临床差异。方法将我院60例腰椎间盘突出症患者的临床资料进行研究分析,所有患者均行经皮椎间孔镜腰椎间盘切除术治疗,其中对照组30例,经后方腰椎板间入路;干预组30例,经侧后方椎间孔入路,对两组患者手术治疗情况以及临床治疗效果进行综合评价。结果干预组手术时间、术中出血量等指标显著优于对照组(P<0.05)。结论与经后方腰椎间板间入路相比,经侧后方椎间孔入路操作简便、损伤小,能够缩短住院时间,优势鲜明,可以在临床中得以广泛地推广应用。Objective to explore clinical difference of percutaneous tmnsforaminal endoscopic discectomy of different approaches in treatment of prolapse of lumbar intervertebral disc. M eth ods study and analyze clinical data of 60 cases patients with prolapse of lumbar intervertebral disc in our hospital. All patients were treated with percutaneous transforaminal endoscopic discectomy, including 30 cases of control group with posterior approach of lumbar disc; 30 cases in intervention group with rear side approach of lumbar disc, carry on comprehensive evaluation for surgical treatment and clinical curative effect of two groups. Results operation time, intraoperative blood loss and other indexes of intervention group were significantly better than control group （P〈0.05）. Conclusion compared with posterior approach, rear side approach of lumbar disc has obvious advantages of simple opeartion, little injury, which can shorten length of hospital stay, and be widely applied and promoted in clinical practice.

关 键 词：不同入路 经皮椎间孔镜 腰椎间盘突出症 

分 类 号：R323.33[医药卫生—人体解剖和组织胚胎学]