摘要
[目的]比较椎间盘镜下髓核摘除术和椎板开窗髓核摘除术治疗单节段单侧腰椎间盘出症的临床效果及优缺点。[方法]回顾性分析2003年7月～2005年7月手术治疗的单节段椎间盘突出症患者69例,其中应用椎间盘镜手术治疗腰椎间盘突出症患者32例、椎板开窗手术37例。分别比较手术时间、术中出血量、术后卧床时间、术后出院时间、术前术后JOA评分、腰痛及腿痛VAS评分。[结果]椎间盘镜组和椎板开窗组疗效优良率分别为优良率93.7%和91.9%,无显著性差异,同时两组患者术后腿痛缓解无显著性差异;而两组患者在术后腰痛VAS评分、术中出血量、术后卧床时间及术后住院时间有显著性差异,椎间盘镜组要明显优于常规椎板开窗组。[结论]两种术式都能有效缓解腰椎间盘突出症患者的症状,但MED手术创伤小、出血少、术后早期康复快,术后遗留腰痛较轻。
[ Objective] To compare the clinical results, advantages and disadvantages of the mono-segment lateral lumbar disc herniated patients with the treatment of micro-endoscopic discectomy （MED） and fenestration discectomy （FD）. [ Methods] Sixty -nine cases operated with mono-segment discectomy were analyzed from July 2003 to July 2005, among them, 32 cases operated with microendoscopic discectomy and 37 cases operated with fenestration discectomy. The operating time, blood loss, time stay-in-bed, duration of hospitalization after operation were compared. [ Results] The rate of excellent and good outcomes was 93.7% in MED group, and 91.9% in FD group. No significant difference was found between them, and the same with the postoperative sciatica relief significant differences ould be observed in the operation time, blood loss, duration of hospitalization after operation and postoperative visual analog scales. [ Conclusion] The symptoms of the lumbar disc herniation can be reliefed effectively by both methods, but micro-endoscopic discectomy has more advantages of less trauma, less blood loss, earlier rehabilitation, less postoperative low back pain.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第7期510-512,533,共4页
Orthopedic Journal of China
关键词
腰椎
椎间盘突出
椎板开窗
内窥镜
lumbar vertebrae
lumbar disc herniation
endoscopy
fenestration discectomy
