MED治疗20例腰椎间盘突出症的疗效分析  

Clinical Analysis of 20 Cases of Lumbar Disc Herniation Treated by MED

作　　者：王永久 孙华峰 邵银星 曹必文 WANG Yong-jiu;SUN Hua-feng;SHAO Yin-xing;CAO Bi-wen(Anqing Hospital of Traditional Chinese Medicine,Anqing 246000,China)

机构地区：[1]安庆市中医院,安徽安庆246000

出　　处：《中国医药指南》2020年第13期126-127,130,共3页Guide of China Medicine

摘　　要：目的对MED治疗20例腰椎间盘突出症疗效探讨。方法研究对象共选取40例,均为腰椎间盘突出症患者,研究起始时间为2015年4月,截止时间为2018年5月,采用双色球抽签法实施分组,抽取红色球的20例患者纳入对照组采用传统开放椎板开窗术(OD)治疗,抽取绿色球的20例患者纳入观察组采用后路椎间盘镜手术(MED),对比两组治疗优良率、手术指标(手术时间、出血量、切口大小及术后卧床时间)、疼痛评分(VAS)、脊柱功能障碍评分(JOA)及椎间盘复发率。结果治疗优良率对比中,观察组95.00%与对照组75.00%比较,显著提升(P<0.05);与对照组比较,观察组手术用时更短,出血量更少,切口更小及术后卧床时间更短(P<0.05);术后两组患者的VAS及JOA评分得有显著改善,且与对照组比较,观察组VAS评分下降幅度更大,JOA评分提升幅度更大(P<0.05);观察组复发1例(5.00%),对照组复发2例(10.00%),组间对比无显著差异(P>0.05)。结论MED治疗腰椎间盘突出症具有突出效果,手术用时短、出血量少、切口短及术后卧床时间短,疼痛轻,恢复快,促使脊柱功能障碍得以缓解,临床使用价值高。Objective To investigate the effect of MED on 20 cases of lumbar disc herniation.Methods A total of 40 patients were selected from the study,all of whom were patients with lumbar disc herniation.The study started in April 2015 and ended in May 2018.The group was divided by the double chromosphere balloting.Twenty patients with green pellets were included in the observation group and underwent posterior discoendoscopic surgery(MED).The superior and favorable treatment rates,surgical indicators(operation time,blood loss,incision size and postoperative bed time),pain score(VAS),spinal dysfunction score(JOA)and disc recurrence rates in the two groups were compared.Results Compared with 75.00%of the control group,95.00%of the observation group was significantly increased(P<0.05).Compared with the control group,the observation group had shorter operation time,less bleeding,smaller incision and shorter postoperative bed rest time(P<0.05).VAS and JOA scores in the two groups were significantly improved after the operation,and compared with the control group,VAS score in the observation group decreased more and JOA score improved more(P<0.05).There was no significant difference between the two groups(P>0.05).Conclusion MED treatment of lumbar disc herniation has the effect of herniation,short operation time,low blood loss,short incision,short postoperative bed time,mild pain,quick recovery,and high clinical value.

关 键 词：MED治疗 腰椎间盘突出症 疼痛评分 脊柱功能障碍评分 椎间盘复发率 

分 类 号：R681.5+3[医药卫生—骨科学]