CAJ | 학술논문

目的：比较骨刀斜行开窗与 UL 开窗治疗腰椎间盘突出症的临床疗效。方法选择新疆医科大学第六附属医院脊柱外科2005年6月-2011年6月收治的腰椎间盘突出症患者216例，分为 UL 开窗组（A 组，98例）和斜形开窗组（B 组，118例），对两组的治疗情况和疗效进行比较分析。结果两组患者手术时间、术中出血量、住院时间、并发症发生情况和术前 VAS 及 ODI 评分均无统计学差异（P ＞0．05）。两组术后随访 VAS 评分和 ODI评分与术前相比均有明显改善（P ＜0．05）。结论骨刀斜行开窗术与 UL 开窗术对于腰椎间盘突出症疗效相当。骨刀斜形开窗因开窗面积较 UL 开窗小，能更好维持脊柱的稳定性。
목적：비교골도사행개창여 UL 개창치료요추간반돌출증적림상료효。방법선택신강의과대학제륙부속의원척주외과2005년6월-2011년6월수치적요추간반돌출증환자216례，분위 UL 개창조（A 조，98례）화사형개창조（B 조，118례），대량조적치료정황화료효진행비교분석。결과량조환자수술시간、술중출혈량、주원시간、병발증발생정황화술전 VAS 급 ODI 평분균무통계학차이（P ＞0．05）。량조술후수방 VAS 평분화 ODI평분여술전상비균유명현개선（P ＜0．05）。결론골도사행개창술여 UL 개창술대우요추간반돌출증료효상당。골도사형개창인개창면적교 UL 개창소，능경호유지척주적은정성。
Objective To compare the therapeutic effects between diagonal model fenestration and UL model fenestration for lumbar disc herniation.Methods 216 patients with lumbar disc herniation from June 2005 to June 2011 were divided into two groups treated with either diagonal model fenestration or UL model fenestration.The clinical data of different groups were analyzed.Results There were no significant with respect to operation time,intra-operative blood loss,hospitalization,VAS and Oswestry disability index between group A and B (P >0.05).The postoperative VAS and ODI scores were better than the preoperative outcomes (P < 0.05 ).Conclusion Both operations have definite and similar therapeutic effects.The diagonal model fenestration,which is smaller than the UL model fenestration,maintains the stability of spine.