小切口开窗术治疗腰间盘突出症合并腰椎管狭窄的临床研究  

Clinical study of small incision fenestration in the treatment of lumbar disc herniation complicated with lumbar spinal stenosis

作　　者：廖强[1] LIA0 Qiang(Department of Spine Surgery,People＇s Hospital of Pingxiang City in Jiangxi Province,Pingxiang 337055,Chin)

机构地区：[1]江西省萍乡市人民医院脊柱外科,江西萍乡337055

出　　处：《中国当代医药》2018年第13期98-100,共3页China Modern Medicine

摘　　要：目的探究小切口开窗术治疗腰间盘突出症合并腰椎管狭窄的临床效果。方法选取2016年11月~2017年11月我院收治的82例腰间盘突出症合并腰椎管狭窄患者,采用随机数字表法将其分为参照组、研究组,每组41例。参照组采用常规治疗方法,研究组行小切口开窗术治疗,将两组治疗后的总有效率、VAS及JOA评分实施对比分析。结果研究组患者的治疗总有效率明显高于参照组,差异有统计学意义(P<0.05)。研究组患者的VAS评分低于参照组,且JOA评分高于参照组,差异均有统计学意义(P<0.05)。结论同常规治疗方式比较,对腰间盘突出症合并腰椎管狭窄患者来讲,小切口开窗术,可以起到更好的治疗效果,腰椎神经恢复速度更快、疼痛度更低。Objective To investigate the clinical effect of small incision fenestration in the treatment of lumbar disc herniation with lumbar spinal stenosis.Methods From November 2016 to November 2017,82 patients with lumbar disc herniation combined with lumbar spinal stenosis were selected and randomly divided into reference group and study group,41 cases in each group.The control group was treated with conventional treatment and the study group was treated with small incision fenestration.the total effective rate,VAS and JOA scores of the two groups were compared and analyzed.Results The total effectiveness rate of treatment group was significantly higher than that of the reference group,the difference was statistically significant（P〈0.05）.The VAS score in the study group was lower,and the JOA score was higher compared with those in the reference group with statistical significance,the differences were statistically significant（P〈0.05）.Conclusion Compared with the conventional treatment,for patients with lumbar disc herniation complicated with lumbar spinal stenosis,the small incision fenestration has a better therapeutic effect with a faster recovery of lumbar nerve and milder pain.

关 键 词：小切口开窗术 腰间盘突出 腰椎管狭窄 临床研究 

分 类 号：R687.3[医药卫生—骨科学]