CAJ | 학술논문

目的比较椎间盘镜和椎板开窗髓核摘除术治疗腰椎间盘突出症的临床疗效和安全性。方法回顾性分析80例单节段腰椎间盘突出症患者的病历资料，采用椎间盘镜治疗者42例（治疗组），采用椎板开窗髓核摘除术治疗者38例（对照组）。比较两组患者的切口长度、手术时间、出血量、术后12个月随访时采用Nakai分级标准评定的临床疗效及随访期间并发症的发生率。结果治疗组切口长度、手术时间及术中出血量均小于对照组（P﹤0.05）。两组患者临床疗效比较，差异无统计学意义（Z＝-0.696，P＝0.486）。两组患者切口均甲级愈合，未发生神经根损伤、椎间隙感染及硬膜外血肿等并发症。结论椎间盘镜手术和椎板开窗髓核摘除术治疗腰椎间盘突出症的临床疗效和安全性相当，但前者具有切口小、手术时间短及出血少的优势。
목적비교추간반경화추판개창수핵적제술치료요추간반돌출증적림상료효화안전성。방법회고성분석80례단절단요추간반돌출증환자적병력자료，채용추간반경치료자42례（치료조），채용추판개창수핵적제술치료자38례（대조조）。비교량조환자적절구장도、수술시간、출혈량、술후12개월수방시채용Nakai분급표준평정적림상료효급수방기간병발증적발생솔。결과치료조절구장도、수술시간급술중출혈량균소우대조조（P﹤0.05）。량조환자림상료효비교，차이무통계학의의（Z＝-0.696，P＝0.486）。량조환자절구균갑급유합，미발생신경근손상、추간극감염급경막외혈종등병발증。결론추간반경수술화추판개창수핵적제술치료요추간반돌출증적림상료효화안전성상당，단전자구유절구소、수술시간단급출혈소적우세。
Objective To compare the clinical effect and safety of microendoscopic discectomy and fenestration discectomy in treatment of patients with lumbar disc herniation. Methods The medical data of 80 patients performed surgery for lumbar disc herniation were retrospectively analyzed. Forty - two patients in trial group were performed with microendoscopic discectomy,while the remaining patients(control group)were given with fenestration discectomy. The effects of surgery in patients of these 2 groups were compared with each other in such parameters as length of incision,operating time,amount of blood loss,curative effect and incidence rate of complications. Results The length of incision,operating time and amount of blood loss in trial group were less than those of control group respectively(P﹤0. 05). There was no statistically difference in curative effect(Z=-0. 696,P=0. 486). All patients in these 2 groups got primary healing in operative incisions and no complications such as injury of nerve root,disc space infection and epidural hematoma were found. Conclusion The therapeutic effect and safety of microendoscopic discectomy is similar to that of fenestration discectomy in treatment of lumbar disc herniation,while the former has the advantages of less invasiveness, shorter operating time and less blood loss.