本文選題：內(nèi)窺鏡 + 腰椎��； 參考：《哈爾濱醫(yī)藥》2016年06期

【摘要】：目的探究內(nèi)窺鏡輔助腰椎微創(chuàng)手術通道的解剖學情況。方法選取2015年1月至2016年1月在我院接受治療的腰椎滑脫癥患者60例作為研究對象,根據(jù)治療方式的不同將患者分為傳統(tǒng)開放組(30例)和微創(chuàng)組(30例),對比兩組患者手術時間、術中出血量等手術指標的差異。并采用視覺模擬法對患者疼痛以及Oswestry功能障礙指數(shù)進行評分,對比兩組患者的差異。結(jié)果結(jié)果觀察組患者術中出血量、住院時間均顯著少于對照組,差異有統(tǒng)計學意義(P0.05)。兩組手術時間的對比無統(tǒng)計學差異(P0.05)。治療前后兩組患者VAS評分、ODI評分均無統(tǒng)計學差異(P0.05)。結(jié)論采用內(nèi)窺鏡輔助腰椎胃腸手術通道對患者進行手術安全有效,與傳統(tǒng)開放組相比,患者出血量更少且能夠減少組織損傷的程度,值得推廣應用。
[Abstract]:Objective to investigate the anatomy of endoscope assisted lumbar minimally invasive surgery. Methods 60 patients with lumbar spondylolisthesis who were treated in our hospital from January 2015 to January 2016 were divided into traditional open group (30 cases) and minimally invasive group (30 cases). The difference of operative indexes such as blood loss during operation. Visual analogue method was used to evaluate the pain and Oswestry dysfunction index, and the difference between the two groups was compared. Results the amount of intraoperative bleeding and the length of hospitalization in the observation group were significantly less than those in the control group, and the difference was statistically significant (P 0.05). There was no significant difference in operation time between the two groups (P 0.05). There was no significant difference in VAS score and ODI score between the two groups before and after treatment (P 0.05). Conclusion Endoscopic assisted lumbar gastrointestinal surgery is safe and effective. Compared with the traditional open group, the bleeding volume of the patients is less and the degree of tissue injury can be reduced. It is worth popularizing and applying.
【作者單位】： 大連醫(yī)科大學附屬第一醫(yī)院脊柱外科;
【基金】：(2013001013)" target="_blank">遼寧省科學事業(yè)公益研究基金<內(nèi)窺鏡下腰椎微創(chuàng)手術通道的解剖學研究及臨床應用>(2013001013)
【分類號】：R687.3;R322.7
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本文編號：1973722