CAJ | 학술논문

目的：研究单独应用介入治疗、椎间盘镜及椎间盘镜联合介入治疗方法在腰椎间盘突出患者中的治疗效果。方法单独应用介入治疗患者74例（介入组），单独应用内镜治疗患者68例（关节镜组），应用内镜联合介入治疗患者71例（联合治疗组），所有患者均随访12～18个月。结果经 Macnab 标准评估疗效，介入组优60例（81．08％），良8例（10．81％），差6例（8．11％）。关节镜组优54例（79．41％），良9例（13．24％），差5例（7．35％）。联合治疗组优67例（94．37％），良3例（4．23％），差1例（1．41％）。经分析在腰部、腿部疼痛、手术满意度及术后整体评估方面，联合治疗组明显优于关节镜组及介入治疗组（P＜0．05）。在术后腰部活动及恢复工作时间方面，3组结果差异无统计学意义（P＞0．05）。结论介入联合椎间盘镜治疗腰椎间盘突出疗效明显优于单独介入治疗和椎间盘镜治疗。
목적：연구단독응용개입치료、추간반경급추간반경연합개입치료방법재요추간반돌출환자중적치료효과。방법단독응용개입치료환자74례（개입조），단독응용내경치료환자68례（관절경조），응용내경연합개입치료환자71례（연합치료조），소유환자균수방12～18개월。결과경 Macnab 표준평고료효，개입조우60례（81．08％），량8례（10．81％），차6례（8．11％）。관절경조우54례（79．41％），량9례（13．24％），차5례（7．35％）。연합치료조우67례（94．37％），량3례（4．23％），차1례（1．41％）。경분석재요부、퇴부동통、수술만의도급술후정체평고방면，연합치료조명현우우관절경조급개입치료조（P＜0．05）。재술후요부활동급회복공작시간방면，3조결과차이무통계학의의（P＞0．05）。결론개입연합추간반경치료요추간반돌출료효명현우우단독개입치료화추간반경치료。
Objective To evaluate the effect of interventional therapy,and diskoscope for lumbar disc protrusion patients.Methods There were 74 patients in interventional therapy group,68 patients in diskoscope group and 71 patients in combined treatment group.Fol-low-up was done in 12 to 18 months after operation and data was collected.Results Depende on the macnab standard,there were 60 cases (81.08%)were excellent 8 cases(10.81%)were good,and 6 cases(8.11%)were bad in interventional therapy group;54 cases(79.41%),9 cases(13.24%),5 cases(7.35%)in diskcope gooup,and 67 cases(94.37%),3 cases(4.23%),1 cases(1.41%)in combined teratment group respectively.χ2 test was made,result shows that both pain in waist and legs and satisfaction degree after operation in combined treat-ment group are better than others.There is no statistics difference in postoperative lumbar activities and time back to work among the groups(P>0.05).Conclusion There is a better treatment effect in combined treatment group than other groups.