CAJ | 학술논문

目的:分析和比较后路椎间盘镜和激光联合臭氧两种微创术式治疗腰椎间盘突出症的临床疗效.方法:对49例诊断为腰椎间盘突出症行微创手术治疗的患者进行回顾性分析,其中接受后路椎间盘镜手术28例,接受激光消融联合臭氧治疗21例.结果:激光联合臭氧组在切口长度、术中出血量、手术时间及住院时间均优于后路椎间盘镜组(P<0.05),但临床意义不大;两组术后近期疗效相当(P>0.05).结论:两种微创术式治疗腰椎间盘突出症疗效没有明显差异,都是值得推广的安全有效的微创手术方法.
목적:분석화비교후로추간반경화격광연합취양량충미창술식치료요추간반돌출증적림상료효.방법:대49례진단위요추간반돌출증행미창수술치료적환자진행회고성분석,기중접수후로추간반경수술28례,접수격광소융연합취양치료21례.결과:격광연합취양조재절구장도、술중출혈량、수술시간급주원시간균우우후로추간반경조(P<0.05),단림상의의불대;량조술후근기료효상당(P>0.05).결론:량충미창술식치료요추간반돌출증료효몰유명현차이,도시치득추엄적안전유효적미창수술방법.
Objective:To analyze and compare the clinical efficacy of lumbar disc herniation treated with posterior diskoscope and la-ser combined ozone, two kinds of minimally invasive surgery. Methods:49 patients with lumbar disc herniation in the treatment of minimally invasive surgery were analyzed retrospectively, including 28 cases of posterior diskoscope, and 21 cases of laser ablation combined with ozone. Results: Incision length, operative blood loss, operation duration and hospital stays in group of laser com-bined with ozone were all better than those in group of posterior diskoscope (P<0.05), yet with little clinical significance;postopera-tive short-term efficacy of two groups was the same (P>0.05). Conclusion:There is no significant difference between the two kinds of minimally invasive surgery treating lumbar disc herniation, which are both safe and effective methods of minimally invasive sur-gery being worthy of popularization.