摘要
目的探讨小切口椎板开窗治疗腰椎间盘突出症（LDH）的疗效。方法将56例单侧、单节段单纯的LDH患者随机分成A、B两组各28例。A组采用小切口椎板开窗．B组采用标准的全椎板切除或扩大椎板切除。所有病例随访1～3年，平均2．5年。结果A组优20例，良3例．中l例，差4例，总有效率85．7％；B组优12例，良3例，中2例，差11例，总有效率60．7％。两组比较差异有统计学意义（P〈0．05）。两组中以腰腿痛为主要症状而接受手术治疗者疗效优于同组中以腰、腿痛为主要症状者。结论小切口椎板开窗治疗LDH手术具有创伤小、感染机会低、恢复快、疗效好、对脊柱结构破坏小等优点，手术切实可行，值得临床推广。
Objective To explore the effect of vertebral lamina fenestration with small incision for the treatment of lumbar disc hernation（LDH）. Methods fifty-six patients with lateral and simple segment lumbar disc hemation were randomly divided into group A and group B. The operation with small incision in 28 LDH patients was performed in group A. Standard total laminectomy and enlarged laminectomy in group B of 28 LDH patients were performed. All cases were followed up for 1 to 3 years （ mean 2.5 years）. Results Assessed by the JOA criteria,20 cases were rated as excellent,3 cases as good,1 cases as fair and 4 cases as poor,and total effective rate was 85.7% in group A. In group B,12 cases were rated as excellent,3 cases as good,2 cases as fair and 11 cases as poor, and total effective rate was 60.7%. There was significant difference between two groups （ P 〈 0.05 ）. Efficacy in patients with predominant skelalgia was better than that in patients showing lumbocrural pain. Conclusion The method of small incision technique has the advantages of less tissue damage, low infection rate ,quicker recovery, better results and minimal damage to spinal structure,suggesting clinical generalizing.
出处
《微创医学》
2009年第4期353-355,共3页
Journal of Minimally Invasive Medicine
关键词
腰椎间盘突出症
小切口
椎板开窗
Lumbar disc hernation
Small incison
Vertebral lamina fenestration
