后路椎间盘镜手术与开放椎板开窗手术治疗腰椎间盘突出症的疗效对比  

Comparison of Clinical Efficacy between Microendoscopic Discectomy and Open Discectomy in the Treatment of Patients with Lumber Intervertebral Disc Herniation

作　　者：郑军[1] 辛宗山[1] 操儒道[1] 毛丰[1] 马维初[1] 顾晓春 ZHENG Jun;XIN Zong-shan;CAO Ru-dao;MAO Feng;MA Wei-chu;GU Xiao-chun(Dept. of Orthopedics,Zhongxiang People’s Hospital of Hubei Province,Zhongxiang Hubei 431900;Dept. of Orthopedics,The Second Affiliated Hospital of Zhejiang Chinese Medicine University,Hangzhou Zhejiang 310053,China)

机构地区：[1]钟祥市人民医院骨一科,湖北钟祥431900 [2]浙江中医药大学第二附属医院骨科,浙江杭州310053

出　　处：《昆明医科大学学报》2016年第10期47-50,共4页Journal of Kunming Medical University

基　　金：浙江省自然科学基金资助项目(Y2110746)

摘　　要：目的探讨比较后路椎间盘镜手术(microendoscopic discectomy,MED)与开放椎板开窗手术(open discectomy,OD)治疗腰椎间盘突出症(lumber intervertebral disc herniation,LIDH)的疗效.方法回顾性分析116例行手术治疗的LIDH患者的临床资料,按手术方式分为MED组(n=54)和OD组(n=62).比较2组临床疗效、手术情况及并发症发生情况.结果所有患者均手术成功.随访1 a后,MED组治疗后的优良率为96.3%,与OD组93.5%的优良率比较差异无统计学意义(P>0.05).与OD组相比,MED组手术时间缩短,术中出血量减少,切口长度减小,术后卧床时间缩短,差异有统计学意义(P<0.05).术后,2组均未出现严重并发症,并发症发生率组间比较差异无统计学意义(P>0.05).结论 MED和OD均为治疗LIDH的有效手术方式,具有很高的优良率,但与OD组相比,MED手术创伤小,术后恢复快,临床上更值得进一步研究.Objective To compare clinical efficacy between microendoscopic discectomy(MED)andopen discectomy(OD)in the treatment of patients with lumber intervertebral disc herniation(LIDH).Methods116cases of LIDH who were given surgical treatment were selected as research subjects to retrospectively analyzetheir clinical data.Then,these cases were divided into MED group(n=54)and OD group(n=62)accordingto operation type.The curative efficacy,operation situation and incidence of complications were compared.Results All patients'operations were successful.After the one-year follow-up,the MED group had an excellentand good rate of96.3%,which was statistically same with that of93.5%in the OD group(P>0.05).Incomparison with the OD group,MED group had a statistically shorter operation time,less bleeding volume in theoperation,shorter length of incision and shorter rest time on bed after operation(all<0.05).After operation,there's no case of severe complication,and the incidence of complications between the two groups was statisticallysame(P>0.05).Conclusions MED and OD are both effective operations for LIDH,which have high excellent and good rate.But in comparison with OD,MED has advantages of less damage and faster recovery.

关 键 词：后路椎间盘镜手术 开放椎板开窗手术 腰椎间盘突出症 

分 类 号：R681[医药卫生—骨科学]