發(fā)布時(shí)間：2018-01-01 09:37

  本文關(guān)鍵詞：經(jīng)皮椎間孔鏡技術(shù)治療腰椎間盤突出癥的臨床研究　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 腰椎間盤突出癥 椎間孔鏡技術(shù) 傳統(tǒng)開(kāi)放手術(shù)

【摘要】：目的:分析經(jīng)皮椎間孔鏡技術(shù)與傳統(tǒng)手術(shù)治療腰椎間盤突出癥的臨床療效。為椎間孔鏡技術(shù)治療腰椎間盤突出癥提供理論依據(jù)。方法:采取回顧性研究方法調(diào)查了山東省中醫(yī)院從2014年12月至2015年6月收治的腰椎間盤突出癥患者40例,男25例,女15例,年齡17-63歲,平均年齡37.2歲。分為觀察組(20例)及對(duì)照組(20例)。觀察組給予微創(chuàng)椎間孔鏡下髓核摘除術(shù)治療。對(duì)照組給予傳統(tǒng)手術(shù)(椎板間擴(kuò)大開(kāi)窗髓核摘除術(shù))治療,分別記錄兩組各個(gè)病例的術(shù)中出血量、刀口長(zhǎng)度、手術(shù)時(shí)間、臥床時(shí)間、治療前、治療后1月、6月的VAS評(píng)分、JOA評(píng)分、ODI指數(shù),所有數(shù)據(jù)用均數(shù)±標(biāo)準(zhǔn)差(?X±S)表示。比較兩組患者的臨床預(yù)后情況。組內(nèi)采用均數(shù)(?X±S)配對(duì)t檢驗(yàn),組間采用均數(shù)(?X±S)獨(dú)立樣本t檢驗(yàn);P0.05為差異無(wú)統(tǒng)計(jì)學(xué)意義,P0.05為差異有統(tǒng)計(jì)學(xué)意義,P0.01為差異有顯著統(tǒng)計(jì)學(xué)意義。結(jié)果:(1)組內(nèi)比較:傳統(tǒng)手術(shù)治療組與椎間孔鏡治療組術(shù)前、術(shù)后VAS評(píng)分、ODI指數(shù)、JOA評(píng)分有顯著性統(tǒng)計(jì)學(xué)差異(p0.01表1-12)。(2)組間比較:傳統(tǒng)手術(shù)治療組與椎間孔鏡治療組術(shù)前、術(shù)后VAS評(píng)分、ODI指數(shù)、JOA評(píng)分無(wú)統(tǒng)計(jì)學(xué)差異(p0.05表13-18);傳統(tǒng)手術(shù)治療組與椎間孔鏡治療組術(shù)中出血量、手術(shù)時(shí)間、切口長(zhǎng)度、臥床時(shí)間有統(tǒng)計(jì)學(xué)差異(p0.05表19-20)。結(jié)論:(1)傳統(tǒng)開(kāi)放手術(shù)與椎間孔鏡技術(shù)治療腰椎間盤突出癥均具有良好的臨床療效;(2)椎間孔鏡技術(shù)具有操作簡(jiǎn)單、創(chuàng)傷小、患者痛苦少、恢復(fù)快、并發(fā)癥少、對(duì)以后生活質(zhì)量影響較小等諸多優(yōu)點(diǎn);(3)椎間孔鏡技術(shù)的遠(yuǎn)期療效需進(jìn)一步觀察。
[Abstract]:Objective: to analyze the clinical effect of percutaneous transforaminal endoscopic technique and traditional surgical treatment of lumbar disc herniation. Provide a theoretical basis for the transforaminal endoscopic treatment of lumbar disc herniation. Methods: the Shandong Provincial Traditional Chinese Medical Hospital from December 2014 to June 2015 were lumbar disc herniation 40 cases investigated retrospective study method, 25 male cases, female 15 cases, age 17-63 years old, the average age of 37.2 years. Divided into observation group (20 cases) and control group (20 cases). The observation group was given minimally invasive transforaminal endoscopic discectomy treatment. The control group was given conventional surgery (interspinous enlarged fenestration) treatment, the amount of bleeding in all cases, the two groups were recorded during the operation time, incision length, bed time, before treatment, after treatment in January June, the VAS score, JOA score, ODI index, standard deviation for all data (? X + S) shown. Clinical outcomes were compared between the two groups 鎯呭喌.緇勫唴閲囩敤鍧囨暟(?X鹵S)閰嶅t媯，

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