显微镜辅助下单侧椎弓根螺钉固定治疗腰椎间盘突出症  

Unilateral Pedicle Screw Fixation Under Microscope Assisted for Lumbar Disc Herniation

作　　者：步国强[1] 郝为民 沙启乐[1] 刘玉亮 BU Guoqiang;HAO Weimin;SHA Qile;LIU Yuliang(Department of SpineSurgery,Heze Municipal Hospital,Heze Shandong 274000,Chin)

机构地区：[1]山东省菏泽市立医院脊柱外科,山东菏泽274000

出　　处：《中国继续医学教育》2018年第22期73-75,共3页China Continuing Medical Education

摘　　要：目的比较显微镜辅助quadrant通道下单侧椎弓根螺钉固定治疗腰椎间盘突出症的临床疗效。方法将我科2015年10月—2017年5月收治的52例腰椎间盘突出症患者分为两组(微创组和开放组),每组各26例。采用显微镜辅助quadrant通道下单侧椎弓根螺钉固定及传统开放双侧固定进行手术,记录两组治疗疗效。结果微创组的手术时间(110±40)min、术中出血量(164±65)ml、术后住院时间(7.5±2.5)d、VAS评分(2.30±0.61)分、JOA评分(26.20±1.19)分均优于开放组的(156±53)min(t=-3.532)、(344±145)ml(t=5.776)、(11.5±2.5)d(t=5.769)、(3.23±0.46)分(t=6.207)、(23.05±2.04)分(t=-6.801),差异均具有统计学意义(P<0.05)。结论显微镜辅助Quadrant微创通道下单侧椎弓根螺钉固定治疗腰椎间盘突出症可以获得相同的临床疗效,但具有手术时间短、出血量少、术后恢复快的优点。Objective To compare the clinical curative effect of unilateral pedicle screw fixation in the treatment of lumbar intervertebral disc herniation. Methods 52 patients with lumbar intervertebral disc herniation treated in our department from October 2015 to May 2017 were divided into two groups （minimally invasive and open group）, and each group had 26 cases. The treatment effect of two groups of patients was recorded by using a microscope to assist the fxation of unilateral pedicle screw and the traditional open bilateral fxation. Results Minimally invasive surgery time （110±40） min, intraoperative blood loss （164±65） ml, postoperative length of hospital stay （7.5±2.5） d, VAS score （2.30±0.61） points, JOA score （26.20±1.19） points were better than the open group （156±53） min （t=-3.532）, （344±145） ml （t=5.776）, （11.5±2.5） d （t=5.769）, （3.23±0.46） points （t=6.207）, （23.05±2.04） points （t=-6.801）, the difference was statistically signifcant （P〈0.05）. Conclusion Microscope auxiliary channel under the Quadrant minimally invasive unilateral pedicle screw fixation can get the same treatment of lumbar intervertebral disc protrusion clinical curative effect, but a short operation time, less blood loss and quick postoperative recovery.

关 键 词：显微镜 QUADRANT通道 腰椎间盘突出症 微创 单侧椎弓根螺钉固定 治疗 

分 类 号：R687[医药卫生—骨科学]