CAJ | 학술논문

目的分析后路椎间盘镜治疗青少年腰椎间盘突出症的手术疗效.方法对11例青少年腰椎间盘突出症患者采用后路椎间盘镜治疗,观察比较术前及术后3,6,12个月日本骨科学协会(JOA)下腰痛评分.结果术前及术后3,6,12个月JOA下腰痛评分分别为(15.45±2.73)、(27.18±2.08)、(28.18± 1.25)、(28.54±1.21)分,术前JOA下腰痛评分与术后3,6,12个月比较差异有统计学意义(P＜ 0.01).随访时间1～ 10年,平均7.9年,术后随访优8例,良2例,可1例.无复发及医源性腰椎不稳.结论后路椎间盘镜手术具有创伤小、出血少、恢复快等特点,且能与传统切开手术达到相同的减压目的,故其可作为青少年腰椎间盘突出症的有效治疗手段.
목적 분석후로추간반경치료청소년요추간반돌출증적수술료효.방법 대11례청소년요추간반돌출증환자채용후로추간반경치료,관찰비교술전급술후3,6,12개월일본골과학협회(JOA)하요통평분.결과 술전급술후3,6,12개월JOA하요통평분분별위(15.45±2.73)、(27.18±2.08)、(28.18± 1.25)、(28.54±1.21)분,술전JOA하요통평분여술후3,6,12개월비교차이유통계학의의(P＜ 0.01).수방시간1～ 10년,평균7.9년,술후수방우8례,량2례,가1례.무복발급의원성요추불은.결론 후로추간반경수술구유창상소、출혈소、회복쾌등특점,차능여전통절개수술체도상동적감압목적,고기가작위청소년요추간반돌출증적유효치료수단.
Objective To study the curative effect of posterior diskoscope discectomy for adolescent lumbar disc herniation.Methods Eleven adolescent patients with lumbar disc herniation were treated with posterior diskoseope discectomy,the Japanese orthopaedic association (JOA) lower back pain score was observed and compared before operation and after operation 3,6,12 months.Results The JOA lower back pain score were (15.45 ± 2.73),(27.18 ± 2.08),(28.18 ± 1.25),(28.54 ± 1.21) scores before operation and after operation 3,6,12 months,there was statistical difference in JOA lower back pain score between before operation and after operation 3,6,12 months (P ＜ 0.01).The patients were followed up for 1-10 years,mean 7.9 years,excellent was in 8 cases,good was in 2 cases,general was in 1 case.Recurrence and iatrogenic lumbar instability were not found.Conclusions The posterior diskoscope discectomy with less trauma,less bleeding,faster recovery,and can achieve the same decompression objective with the traditional open surgical.So posterior diskoscope discectomy can be used as adolescent treatment of lumbar disc herniation.