CAJ | 학술논문

目的：比较椎间盘镜（MED）与椎板开窗髓核摘除术治疗单节段椎间盘突出症（FD）的临床疗效。方法回顾性收集2011年7月～2013年9月我院收治的100例单节段椎间盘突出症患者的临床资料，其中椎间盘镜手术治疗54例，椎板开窗手术46例。重点收集患者手术前后的JOA评分、手术时间、术中出血量、术后住院时间及疼痛等资料，并进行比较。结果两组患者性别、年龄、突出节段、类型等方面差异无统计学意义（P＞0．05）；两组患者手术时间、术中出血量、卧床时间、术后住院时间等方面差异无统计学意义（P＞0．05）；两组手术前JOA评分、腰腿痛VAS评分差异无统计学意义（P＞0．05），术后两组资料腰痛VAS评分差异有统计学意义（P＜0．05），其他均无统计学差异（P＞0．05）；椎间盘镜组疗效优良率为93．7％，椎板开窗组优良率为91．9％，差异无统计学意义（P＞0．05）。结论椎间盘镜治疗单节段腰椎间盘突出具有微创、出血量少、患者康复快、预后较好等优点，值得临床借鉴。
목적：비교추간반경（MED）여추판개창수핵적제술치료단절단추간반돌출증（FD）적림상료효。방법회고성수집2011년7월～2013년9월아원수치적100례단절단추간반돌출증환자적림상자료，기중추간반경수술치료54례，추판개창수술46례。중점수집환자수술전후적JOA평분、수술시간、술중출혈량、술후주원시간급동통등자료，병진행비교。결과량조환자성별、년령、돌출절단、류형등방면차이무통계학의의（P＞0．05）；량조환자수술시간、술중출혈량、와상시간、술후주원시간등방면차이무통계학의의（P＞0．05）；량조수술전JOA평분、요퇴통VAS평분차이무통계학의의（P＞0．05），술후량조자료요통VAS평분차이유통계학의의（P＜0．05），기타균무통계학차이（P＞0．05）；추간반경조료효우량솔위93．7％，추판개창조우량솔위91．9％，차이무통계학의의（P＞0．05）。결론추간반경치료단절단요추간반돌출구유미창、출혈량소、환자강복쾌、예후교호등우점，치득림상차감。
Objective To compare the clinical efficacy of discectomy ( MED) and fenestration discectomy on single segment disc herniation ( FD) treatment.Methods A retrospective clinical data collected from July 2011 to Sep-tember 2013 in our hospital 100 cases of single segment disc herniation ,in which 54 cases of surgical discectomy ,lami-nectomy surgery 46 cases.The collection of patients before and after surgery JOA score ,operative time,blood loss,hospi-tal stay and postoperative pain and other information were focused on and compared .Results There were no significant differences between the two groups of gender ,age,protruding sections,type ect.(P>0.05);differences between the two groups of patients operative time ,blood loss,bed time,postoperative hospital stay were not statistically significant ( P>0. 05);groups JOA score before surgery and low back pain VAS score showed no significant difference (P>0.05),after the two sets of data in addition to back pain VAS score was significantly outside (P<0.05),others were not statistically dif-ferent(P>0.05);superior efficacy of discectomy group was 93.7%,an excellent fenestration group was 91.9%,the difference was not statistically significant ( P>0 .05 ) .Conclusion Discectomy for the treatment of lumbar disc single segment with minimally invasive,less blood loss,faster rehabilitation of patients with good prognosis ,etc.is worthy of ref-erence .