CAJ | 학술논문

　　目的探讨小切口髓核摘除术治疗腰椎间盘突出症的临床效果。方法选取本院2010年1月～2012年3月诊治的腰椎间盘突出症患者113例，根据治疗方法分为两组，47例患者采用保守治疗为对照组，66例患者采用小切口髓核摘除术治疗为观察组，治疗后随访1年，分析两组患者的临床疗效、复发情况、并发症情况。结果观察组优良率（98.5%）明显高于对照组（72.3%），观察组复发率（1.5%）明显低于对照组（23.4%），差异均有统计学意义（P＜0.05）。两组患者治疗过程中均未见严重并发症发生。结论小切口髓核摘除术是治疗腰椎间盘突出症的有效方法，可明显改善患者预后。
　　목적탐토소절구수핵적제술치료요추간반돌출증적림상효과。방법선취본원2010년1월～2012년3월진치적요추간반돌출증환자113례，근거치료방법분위량조，47례환자채용보수치료위대조조，66례환자채용소절구수핵적제술치료위관찰조，치료후수방1년，분석량조환자적림상료효、복발정황、병발증정황。결과관찰조우량솔（98.5%）명현고우대조조（72.3%），관찰조복발솔（1.5%）명현저우대조조（23.4%），차이균유통계학의의（P＜0.05）。량조환자치료과정중균미견엄중병발증발생。결론소절구수핵적제술시치료요추간반돌출증적유효방법，가명현개선환자예후。
Objective To investigate the clinical effect of small incision discectomy in the treatment of lumbar disc herniation. Methods 113 patients with lumbar disc herniation were selected in our hospital from January 2010 to March 2012,and divided into two groups according to treatment methods.47 patients accepted conservative treatment as control group,66 patients accepted small incision discectomy treatment as observation group.The clinical effect,recurrence, complication were analyzed between the two groups during 1 year of follow-up after treatment. Results The excellent and good rate in observation group (98.5%) was significantly higher than that in control group (72.3%).Recurrence rate in observation group (1.5%) was significantly lower than that in control group (23.4%),with significant differences (P < 0.05).There was no serious complication during treatment between the two groups. Conclusion Small incision discectomy is an effective method in the treatment of lumbar disc herniation, which can significantly improve prognosis of patients.