椎间盘镜微创手术治疗腰椎间盘突出症的临床疗效观察

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1、椎间盘镜微创手术治疗腰椎间盘突出症的临床疗效观察摘要：目的观察椎间盘镜微创手术治疗腰椎间盘突出症的临床疗效。方法选取2010年10月〜2012年10月，68例明确诊断为单节段腰椎间盘突出症的患者，按就诊先后顺序随机分为治疗组和对照组，其中治疗组34例，行后路椎间盘镜下髓核摘除术；对照组34例，行传统开放单纯髓核摘除术。分别比较两组切口长度，手术时间长短，术后住院日数和手术出血量，两组病例围手术期切口疼痛评分(VisualAnalogScale,VAS),术后3个月功能障碍指数(0DI)以评估症状改善程度。结果治疗组与对照组相比，其切口小、手术时间短、术后住院日数

2、少、手术出血量少、术后切口疼痛轻，但近期0DI改善程度相近。结论椎间盘镜微创手术治疗腰椎间盘突出症与传统的开放手术相比，其具有切口小、手术时间短、出血量少、恢复快、手术后疼痛轻等优势，是一种安全、有效的治疗方法。关键词：椎间盘镜微创手术；腰椎间盘突出症；疗效观ClinicalEfficacyofMicroendoscopyDiscetomyfortheTreatmentofLumbarDiscHerniationZHOUHai-qing(ShandongProvinceZiboCityZhangdianDistrictPeople’sHospital,Ortho

3、pedicDepartment,ZiboShandong255025，China)Abstract:ObjectiveToobservetheclinicalefficacyofmicroendoscopydiscetomyforthetreatmentoflumbardischerniation.MethodsFrom2010Octoberto2012October,68casesofsinglesegmentallumbardischerniationweretreatedinourdepartment.Theywererandomlydividedinto

4、twogroupsaccordingtothedifferentoperationmethod.Inthe34patienstssufferedfromonlyonelumbardischerniationopeartedbyMEDcomparedwiththeamedisease,samplesoperatedbytraditionalopenedoperaiton.Thelengthofincision，operationtime,postoperativehospitalstay,bloodloss,perioperationperiodVisualAna

5、logScale(VAS)preoperativeandpostoperativeMarchOswestryDisabilityIndex(ODI)toassesthedegreeofthesymptomimprovementwerecomparedbetweentwogroups.ResultsComparedwiththetreatmentgroupandthecontrolgroup,thetreatmentgrouphassmallerincision,shorteroperationtime，lesspostoperativehospitalizati

6、onstay,theoperationlessbleedingandpostoperativeincisionpain,buttheODIofrecentimprovementissimilar.ConclusionMicroendoscopydiscetomyforthetreatmentoflumbardischerniationhassmallerincision,shorteroperationtime,lessblood,fasterrecovery,thanthediscetomyeffectivelesspostoperativepainandot

7、heradvantagestraditionalopensurgery.Microendoscopysurgeryisminimallyinvasive，safeandmethodforthetreatmentoflumbardischerniation.Keywords：Microendoscopydiscetomy；Lumbardischerniation；Clinicalefficacy腰椎间盘突出症［1］是在腰椎间盘退行性变基础上，因各种急慢性损伤所致纤维环破损、髓核外溢引起的一组症候群，大多数患者长期保守治疗症状可以明显缓解，但仍有10%〜20%患者需

8、要手术治疗［2］。目前，