手术治疗与综合保守治疗腰间盘突出症的效果对比  

The Curative Effect of Surgical Treatment and Comprehensive Conservative Treatment of Lumbar Disc Herniation

作　　者：喻亮 王盛[1] YU Liang;WANG Sheng(Affiliated Xiaogan Hospital of Wuhan University of Science and Technology,Xiaogan 432000,China)

机构地区：[1]武汉科技大学附属孝感医院,湖北孝感432000

出　　处：《中外医学研究》2018年第18期23-24,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨手术治疗与综合保守治疗腰间盘突出症的疗效。方法:择选2017年1-12月于笔者所在医院确诊为腰间盘突出症患者82例,随机分为观察组(n=41)和对照组(n=41)。对照组采用综合保守治疗,观察组采用手术治疗。观察对比组间治疗效果及预后情况差异。结果:两组显效、有效及无效例数相比,差异无统计学意义(P>0.05);但观察组患者JOA评分、治疗费用高于对照组,VAS评分数值低于对照组,差异有统计学意义(P<0.05)。结论:针对腰间盘突出症患者采用手术治疗或综合保守治疗,疗效无明显差异,但手术治疗方法患者预后效果较好,故可根据患者身体耐受情况为患者选择合适的治疗方式。Objective：To explore the curative effect of surgical treatment and comprehensive conservative treatment of lumbar disc herniation.Method：From January 2017 to December 2017,82 patients with lumbar disc herniation were diagnosed in our hospital,randomly divided into observation group（n=41） and control group（n=41）.The control group was treated with comprehensive conservative treatment and the observation group was treated with surgery.The effect of treatment and prognosis were observed.Result：There were no statistically significant differences between the two groups（P〉0.05）.However,JOA score and treatment cost were higher in the observation group than in the control group,and the VAS score was lower than the control group,with statistical difference（P〈0.05）.Conclusion：There is no significant difference in the efficacy of surgical treatment or comprehensive conservative treatment for patients with lumbar disc herniation.However,the prognosis of patients with surgical treatment is better.Therefore,the patient can choose the appropriate treatment according to the patient＇s tolerance.

关 键 词：手术治疗 综合保守治疗 腰间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]