本文關(guān)鍵詞：后路內(nèi)窺鏡下經(jīng)單側(cè)切口及雙側(cè)切口行雙側(cè)神經(jīng)根減壓治療腰椎間盤(pán)突出癥的對(duì)比研究　出處：《西部醫(yī)學(xué)》2016年12期 　論文類(lèi)型：期刊論文

  更多相關(guān)文章： 腰椎間盤(pán)突出癥 內(nèi)窺鏡 雙側(cè)切口 單側(cè)切口

【摘要】：目的對(duì)經(jīng)后路內(nèi)窺鏡下單側(cè)切口及雙側(cè)切口行雙側(cè)神經(jīng)根減壓治療腰椎間盤(pán)突出癥療效進(jìn)行對(duì)比研究。方法將2010年10月~2012年10月收治的保守治療無(wú)效伴雙側(cè)神經(jīng)根受壓的81例中央型腰椎間盤(pán)突出癥患者隨機(jī)分為實(shí)驗(yàn)組43例和對(duì)照組38例,實(shí)驗(yàn)組采取經(jīng)單側(cè)切口入路行雙側(cè)神經(jīng)根減壓及椎間盤(pán)切除術(shù),對(duì)照組采取傳統(tǒng)的雙側(cè)切口行雙側(cè)神經(jīng)根減壓及椎間盤(pán)切除術(shù),對(duì)兩種術(shù)式系列指標(biāo)包括術(shù)中出血量、手術(shù)持續(xù)時(shí)間、切口長(zhǎng)度、術(shù)后下床時(shí)間、術(shù)后住院天數(shù)、并發(fā)癥及視覺(jué)模擬評(píng)分(VAS)、Macnab評(píng)分進(jìn)行比較分析。結(jié)果 1實(shí)驗(yàn)組較對(duì)照組切口小,術(shù)中出血量少,手術(shù)時(shí)間短,兩組間差異有統(tǒng)計(jì)學(xué)意義(均P0.05);而住院時(shí)間及術(shù)后下床時(shí)間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。2兩組術(shù)后1個(gè)月、末次隨訪,VAS評(píng)分與術(shù)前相比,均明顯下降(P0.05);兩組間術(shù)前、術(shù)后1個(gè)月及末次隨訪VAS評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(均P0.05)。3實(shí)驗(yàn)組Macnab評(píng)分,術(shù)后1個(gè)月優(yōu)良率93.0%,末次隨訪優(yōu)良率95.3%;對(duì)照組術(shù)后1個(gè)月優(yōu)良率97.4%,末次隨訪優(yōu)良率97.4%,組間差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論經(jīng)后路內(nèi)窺鏡下單側(cè)切口行雙側(cè)神經(jīng)根減壓治療腰椎間盤(pán)突出癥是一種安全、有效、微創(chuàng)的治療方案,具有臨床應(yīng)用價(jià)值。
[Abstract]:Objective to compare the curative effect of unilateral and bilateral incision on lumbar disc herniation by posterior endoscope. Methods from October 2010 to October 2012, the conservative treatment of lumbar intervertebral disc herniation was carried out. 81 patients with central lumbar disc herniation were randomly divided into experimental group (n = 43) and control group (n = 38). The experimental group was treated with bilateral nerve root decompression and discectomy via unilateral incision, while the control group was treated with bilateral nerve root decompression and discectomy with traditional bilateral incision. For the two types of surgical procedures, including intraoperative bleeding, operative duration, incision length, postoperative time out of bed, postoperative hospital days, complications and visual analogue score (VASs). Results 1in the experimental group, the incision was smaller, the amount of intraoperative bleeding was less, the operation time was shorter, and the difference between the two groups was statistically significant (P 0.05). However, there was no significant difference in the length of hospitalization and the time of getting out of bed after operation. The VAS score of the last follow-up group was significantly lower than that of the pre-operation group (P 0.05). There was no significant difference in VAS score between the two groups before operation, 1 month after operation and the last follow-up (P0.05.3), and the excellent and good rate was 93.0% at one month after operation. The excellent and good rate of the last follow-up was 95. 3%; In the control group, the excellent and good rate was 97.4% 1 month after operation, and the excellent and good rate was 97.4% at the last follow-up. Conclusion it is safe, effective and minimally invasive to treat lumbar disc herniation with bilateral nerve root decompression through unilateral incision under posterior endoscope. It has clinical application value.
【作者單位】： 363醫(yī)院骨科;
【基金】：四川省科技廳支撐課題(2013JY0156)
【分類(lèi)號(hào)】：R687.3
【正文快照】： 后路內(nèi)窺鏡下髓核摘除術(shù)治療腰椎間盤(pán)突出癥療效肯定,且創(chuàng)傷小,恢復(fù)快,隨著后路椎間盤(pán)鏡在臨床上的廣泛應(yīng)用,治療適應(yīng)證逐漸擴(kuò)展。2010年10月~2012年10月,我院對(duì)經(jīng)后路內(nèi)窺鏡下單側(cè)切口與雙側(cè)切口行雙側(cè)神經(jīng)根減壓治療腰椎間盤(pán)突出癥進(jìn)行了對(duì)比研究,均取得了良好的臨床療效,現(xiàn)

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