经侧后路椎间孔镜下椎间盘髓核摘除术与传统后路椎间开窗髓核摘除术治疗腰椎间盘突出症的手术效果比较  

Comparison of surgical effects between microendoscopic discectomy through lateral posterior approach and traditional posterior approach fenestration in the treatment of lumbar disc herniation

作　　者：周凯[1] 贺中原 唐可[1] 权正学[1] ZHOU Kai;HE Zhong-yuan;TANG Ke(Department of Orthopedics,First Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第一医院骨科,重庆400010

出　　处：《中国处方药》2020年第4期183-184,共2页Journal of China Prescription Drug

摘　　要：目的对比经侧后路椎间孔镜下椎间盘髓核摘除术与传统后路椎间开窗髓核摘除术治疗腰椎间盘突出症的手术效果。方法 2019年1月~2019年12月,在我院收治的腰椎间盘突出症患者中选取112例,随机均衡分为两组,每组56例,治疗时,给予对照组传统后路椎间开窗髓核摘除术,给予观察组经侧后路椎间孔镜下椎间盘髓核摘除术,对比治疗效果。结果在术后对比两组卧床时间、手术时间、术中出血量、手术切口的长度、临床疗效、ODI(腰椎功能障碍评分)、VAS(疼痛视觉模拟)评分,观察组数据优于对照组,统计学存在意义(P <0.05)。结论腰椎间盘突出症治疗时选择椎间孔镜术,取得的疗效更为显著。Objective To compare the surgical effects of lumbar disc herniation treated by posterior microendoscopic discectomy and traditional posterior fenestration discectomy. Methods From January 2019 to December 2019, 112 patients with lumbar disc herniation admitted to our hospital were randomly and evenly divided into two groups, 56 cases in each group. During treatment, the control group was given traditional posterior intervertebral fenestration nucleus pulposus enucleation, and the observation group was given posterior intervertebral foramen microendoscopic discectomy, and the therapeutic effects were compared. Results The bed rest time, operation time, intraoperative blood loss, surgical incision length, clinical efficacy, ODI(lumbar spine dysfunction score) and VAS(pain visual analogue) scores of the two groups were compared after operation. the data of the observation group was better than that of the control group, with statistical significance(P < 0.05). Conclusion The choice of intervertebral foramen mirror in the treatment of lumbar intervertebral disc herniation has achieved more remarkable curative effect and is worthy of application.

关 键 词：腰椎间盘突出症 手术效果 髓核摘除术 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]