本文選題：老年腰椎間盤突出癥 + 椎間孔鏡技術(shù)��； 參考：《山東中醫(yī)藥大學》2017年碩士論文

【摘要】：目的:回顧性研究老年腰椎間盤突出癥患者經(jīng)椎間孔鏡技術(shù)與傳統(tǒng)手術(shù)治療的臨床療效。為治療老年腰椎間盤突出癥提供理論依據(jù)。方法:統(tǒng)計山東省中醫(yī)院從2015年04月至2016年09月收治的老年腰椎間盤突出癥患者60例,年齡60歲以上。將患者隨機分為試驗組(30例)及對照組(30例)。試驗組行經(jīng)椎間孔鏡微創(chuàng)治療。對照組給予傳統(tǒng)手術(shù)(全椎板切除減壓內(nèi)固定)治療。記錄術(shù)中出血量、刀口長度、手術(shù)時間、臥床時間,治療前及治療后3個月的VAS評分、ODI指數(shù)及術(shù)后并發(fā)癥,所有數(shù)據(jù)用均數(shù)±標準差(?X±S)表示。組內(nèi)采用配對t檢驗,組間采用獨立樣本t檢驗或方差分析;P0.05為差異無統(tǒng)計學意義,P0.05為差異有統(tǒng)計學意義。結(jié)果:(1)兩組患者均取得了較為滿意的臨床;(2)組內(nèi)比較:兩種手術(shù)方式患者術(shù)前、術(shù)后VAS評分、ODI指數(shù)、術(shù)后并發(fā)癥有統(tǒng)計學差異(p0.05);(3)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評分、ODI指數(shù)、術(shù)后并發(fā)癥無統(tǒng)計學差異(p0.05);而兩組術(shù)中出血量、手術(shù)時間、切口長度、臥床時間有統(tǒng)計學差異(p0.05)。結(jié)論:(1)兩種手術(shù)方式治療老年腰椎間盤突出癥均具有良好的臨床療效;(2)相比于常規(guī)開放手術(shù),椎間孔鏡技術(shù)具有創(chuàng)傷小、出血較少、恢復快、術(shù)中術(shù)后并發(fā)癥少等諸多優(yōu)點;(3)椎間孔鏡技術(shù)的遠期療效需進一步觀察。
[Abstract]:Objective: to study the clinical effect of intervertebral foramen technique and traditional operation in elderly patients with lumbar disc herniation. To provide theoretical basis for the treatment of senile lumbar disc herniation. Methods: from April 2015 to September 2016, 60 elderly patients with lumbar disc herniation, aged over 60 years, were enrolled in Shandong traditional Chinese Medicine Hospital. Patients were randomly divided into trial group (n = 30) and control group (n = 30). The experimental group was treated with transforaminal minimally invasive treatment. The control group was treated with traditional operation (total laminectomy, decompression and internal fixation). Intraoperative bleeding volume, incision length, operation time, bed-rest time, VAS score before and 3 months after treatment and postoperative complications were recorded. All data were expressed as mean 鹵standard deviation. Paired t test was used in the group, and there was no significant difference between the two groups using independent sample t test or ANOVA (P0.05). Results two groups of patients obtained satisfactory clinical comparison: before and after operation, the VAS scores of the two groups were compared with the ODI index. There was significant difference in postoperative complications between two groups: before operation and intervertebral foramina treatment group, there was no significant difference in postoperative VAS index between the two groups, but there was no significant difference in postoperative complications between the two groups (P 0.05), while the amount of intraoperative bleeding, operative time, and incision length were not significantly different between the two groups, and there was no significant difference in postoperative complications between the two groups (P < 0.05). There was significant difference in bed rest time (P 0.05). Conclusion compared with conventional open surgery, the intervertebral foramen technique has the advantages of less trauma, less bleeding and faster recovery than conventional open surgery in the treatment of lumbar intervertebral disc herniation in the elderly. The long-term effect of intervertebral foramen technique needs further observation.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R687.3

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