摘要
目的探讨后路椎间盘镜技术(MED)治疗腰椎间盘突出症的疗效。方法回顾我科1999年1月至2002年12月利用MED治疗的腰椎间盘突出症患者37例,利用SPSS11.5软件分别比较术前、术后首次随访和末次随访的VAS评分。按Nakai标准将患者首次随访和末次随访时的疗效分为优、良、可、差4级。结果术前、术后首次随访及末次随访时的VAS评分分别为7.1±1.4、2.5±1.5、2.8±1.9。术前与术后首次随访、术前与术后末次随访的VAS评分具有显著性差异(P值均为0.000),而首次随访与末次随访的VAS评分无显著性差异(P=0.17)。首次随访时疗效:优21例,良14例(优良率94.6%)。末次随访时疗效:优18例,良15例(优良率89.2%)。结论后路椎间盘镜技术治疗腰椎间盘突出症具有良好的近、中期疗效,术者须注意手术适应证选择和术中操作技巧。
Objective To study the cure effect of microendoscopic discectomy（MED） in the treatment of lmubar intervertebral disc herniation （LIDH）. Methods Thirty seven cases with LIDH who received MED were analyzed retrospectively from Jan 1999 to Dec 2002. Comparision of VAS between pre-operation and post-operation in all eases,P〈0.05 means there is significant difference. The cure effect in the first and last time in follow-up was defined by Nakai standard. Results VAS in pre-operation and post-operation including first and last time follow-up was 7.1 ±1.4,2.5±1.5,2.8± 1.9 respectively. In all cases, there is significant difference in VAS between pre-operation and fist time or last time follow-up （P=0.000）. However, there is no significant difference between fist time and last time follow-up（P=0.17）. The clinical success rate in all 37 patients was 94.6% at fist time follow-up and 89.2% at last time follow-up. Conclusion The curative effect with MED to treatment LIDH was excellent and good, the surgery indication and technique should be underlined.
出处
《岭南现代临床外科》
2009年第3期204-205,212,共3页
Lingnan Modern Clinics in Surgery
关键词
椎间盘镜
腰椎间盘突出症
显微外科
Microendoscopic Discectomy
Lubar Intervertebral Disc Herniation
Microsurgery
