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时间:2020-05-15
《后路椎间盘镜髓核摘除术治疗腰椎间盘突出症的远期疗效分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第30卷第3期川北医学院学报(http://noth.cbpt.cnki.net)Vo1.30.No.33562015年6月JOURNALOFNORTHSICHUANMEDICALCOLLEGEJun.2015doi:10.3969/j.issn.1005—3697.2015.03.20◆◆.论著厶后路椎间盘镜髓核摘除术lI=11l腰椎间盘突出症的远期疗效分析罗磊,柏光泽,罗江洪(成都市第六人民医院骨科,四川成都610051)【摘要】目的:分析后路椎间盘镜髓核摘除术(microendoseopicdeseetomy,MED)治疗腰椎间盘突出症的远期疗效。方法:选取2009
2、年1月至2012年1月间在我院接受MED腰椎间盘突出症的35名患者为对象,并以同期接受开放式手术的43名患者为对照,比较两组手术时间、术中出血量、术后住院时间、VAS和ODI评分及复发率等指标的差异。结果:平均随访23.5(13~50)个月,MED组平均手术时间为(89.6±23.6)min,比OD组长;平均住院时间为7(5~27)d,比OD短,术中出血量为60(20—250)mL,与OD组无差异。两组VAS和ODI评分均随时间延长而明显降低,但两组间无明显差异。两组复发率分别为7.1%和8.7%,也无明显差异。结论:MED与OD手术整体疗效无明显差异,但MED明显缩短住
3、院时间。【关键词】椎间盘镜髓核摘除术;VAS评分;ODI评分;复发率【文章编号】1005-3697(2015)03-0356-03【中图分类号】R816.8【文献标志码】ATheevaluationonlong-termefectofposteriormicroendoscopicdescetomyforpatientswithlumbardischerniationLUOLei,BAIGuang-ze,LUOJiang-hong(DepartmentofOrthopedics,the6thPeople’sHospitalofChengdu,Chengdu610051,S
4、ichuan,China)【Abstract】0bjective:Toevaluatethelong-termeffectofmicroendoscopiedescetomy(MED)forpatientswithlumbardischerniation(LDH).Methods:Thirty-fivepatientswhowerehospitalizedforLDHandacceptedMEDduringJan.2009toJan.2012inourhospitalwereselectedasstudysubjects.Forty—threepatientswhoacc
5、eptedODduringthesameperiodwereselectedascontro1.Compar—isonsofsurgicaltime,bloodloss,timeofhospitalstay,VASandODIscore,aswellasrecurrenceratewereperformedbetweentwogroups.Results:Themeanfollowing—uptimewas23.5months(13—50).InMEDgroup,themeansurgicaltimewas(89.6.4-23.6)minutes,longerthanth
6、atinODgroup.Themeandurationofhospitalstaywas7(5—27)days,shorterthanthatincontrolgroup.Bloodlossduringoperationwas60(20—250)mL,comparativetothatinODgroup.VASandODIscoresweredecreasedwithtimeandnosig—nificantdifferencewasfoundbetweengroups.Therecurrenceratewas7.1%inMEDgroupand8.7%inODgroup.
7、Conclusion:Theo—veralleffectswerecomparativebetweenMEDandOD,butMEDcanobviouslyshortenthelengthofhospitalstay.【Keywords】Microendoscopicdescetomy;VASscore;ODIscore;Recurrencerate腰椎间盘突出症是临床常见病和多发病,也是镜椎间盘切除系统进行髓核摘除(micr0endoscopic腰腿痛及活动障碍的常见原因。虽大多数患者可通descetomy,MED)的治疗方
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