CAJ | 학술논문

目的：观察应用不同方法治疗腰椎间盘突出症的临床效果，提高对腰椎间盘突出症治疗的临床经验。方法将150例于2010年6月-2013年3月在我院接受治疗的腰椎间盘突出症患者随机分为对照组与观察组各75例，对照组患者通过常规开窗手术进行治疗，观察组患者则通过钉棒内固定手术治疗，对比两组手术方法的术中出血量、手术耗时以及住院天数，并且于术后应用Oswestry疼痛调查表评估患者症状的缓解与生活质量的改善情况，以及手术疗效。结果观察组患者的术中出血量高于对照组、手术耗时多于对照组，但住院天数少于对照组，两组比较差异显著（P<0.05）；术后2周、4周、6周患者的Oswestry评分均一定程度降低，但是观察组患者降低幅度更为显著（P<0.05）；6周后观察组治疗的优良率高于对照组，分别为92.0%和77.3%，差异显著（P<0.05）。结论钉棒内固定手术治疗腰椎间盘突出症能够显著改善患者症状、降低疼痛、促进预后，从而提高患者的生活质量，值得临床推广应用。
목적：관찰응용불동방법치료요추간반돌출증적림상효과，제고대요추간반돌출증치료적림상경험。방법장150례우2010년6월-2013년3월재아원접수치료적요추간반돌출증환자수궤분위대조조여관찰조각75례，대조조환자통과상규개창수술진행치료，관찰조환자칙통과정봉내고정수술치료，대비량조수술방법적술중출혈량、수술모시이급주원천수，병차우술후응용Oswestry동통조사표평고환자증상적완해여생활질량적개선정황，이급수술료효。결과관찰조환자적술중출혈량고우대조조、수술모시다우대조조，단주원천수소우대조조，량조비교차이현저（P<0.05）；술후2주、4주、6주환자적Oswestry평분균일정정도강저，단시관찰조환자강저폭도경위현저（P<0.05）；6주후관찰조치료적우량솔고우대조조，분별위92.0%화77.3%，차이현저（P<0.05）。결론정봉내고정수술치료요추간반돌출증능구현저개선환자증상、강저동통、촉진예후，종이제고환자적생활질량，치득림상추엄응용。
Objective To observe clinical effect of different methods in treatment of lumbar disc herniation, and improve clinical experience for the treatment of lumbar disc herniation. Methods 150 cases with lumbar disc hernination in our hospital from June 2010 to March 2013 were selected. Patients were randomly divided into control group and observation group, 75 cases in each group. Control group received conventional fenestration. Observation group received the treatment of screw and rod internal fixation system. Peri-operative bleeding, operative time and hospital days for methods in two groups were compared. Oswestry was applied in post-treatment. Oswestry was used to evaluate remission of symptoms, quality of life and curative effect. Results Peri-operative bleeding in observation group was higher than control group. Operative time in observation group was more than control group, but hospital days in observation group were less than control group. The difference is statistical y significant(P<0.05) Oswestry score for two groups dropped evenly at two weeks, four weeks and six weeks, and Oswestry score for observation group was significantly decreased(P<0.05). Total effective rate for observation group (92.0%) was obviously higher than control group (77.3%) after six weeks. Conclusion Combination treatment of chinese and western medicine in treatment of lumbar disc herniation has a higher clinical value. This therapy can significantly improve symptoms of patients, quality of life and therapeutic effect. It is worth popularizing application in clinic.