CAJ | 학술논문

目的：分析小切口开窗式髓核摘除术治疗腰椎间盘突出症的临床疗效。方法：选取本院2011年4月-2013年4月收治的40例腰椎间盘突出症患者为研究对象，随机将其分为两组，各20例，对照组患者行常规手术治疗，试验组患者给予小切口开窗式髓核摘除术治疗，对两组手术情况及治疗效果进行对比分析。结果：试验组优8例（40%），良8例（40%），优良率80%；对照组优4例（20%），良8例（40%），优良率60%，两组比较差异有统计学意义（P<0.05）。此外，两组患者手术时间、术中出血量及卧床时间比较差异均有统计学意义（P<0.05）。结论：相比常规手术，小切口开窗式髓核摘除术具有创伤小、手术时间短、术后恢复快等特点，可作为腰椎间盘突出症治疗的主要手段。
목적：분석소절구개창식수핵적제술치료요추간반돌출증적림상료효。방법：선취본원2011년4월-2013년4월수치적40례요추간반돌출증환자위연구대상，수궤장기분위량조，각20례，대조조환자행상규수술치료，시험조환자급여소절구개창식수핵적제술치료，대량조수술정황급치료효과진행대비분석。결과：시험조우8례（40%），량8례（40%），우량솔80%；대조조우4례（20%），량8례（40%），우량솔60%，량조비교차이유통계학의의（P<0.05）。차외，량조환자수술시간、술중출혈량급와상시간비교차이균유통계학의의（P<0.05）。결론：상비상규수술，소절구개창식수핵적제술구유창상소、수술시간단、술후회복쾌등특점，가작위요추간반돌출증치료적주요수단。
Objective:To analyze the clinical effect of small incision fenestration pulposus discectomy for lumbar disc herniation. Method:40 cases of lumbar in our hospital in 2011 April to 2013 April were disc herniation patients as the research object,and randomly divided into two groups,each of 20 cases,the control group underwent conventional operation treatment,the patients in the experimental group received small incision fenestration discectomy treatment, carries on the contrast analysis to the situation and the treatment the operation effect of the two groups.Result:8 cases of the experimental group one(40%),good in 8 cases(40%),the excellent and good rate was 80%;the control group was excellent in 4 cases(20%),good in 8 cases(40%),the excellent and good rate was 60%,there was significant difference between two groups(P<0.05).In addition,the two groups had statistical significance of operative time,intraoperative bleeding volume and time of lying in bed in the differences(P<0.05).Conclusion:Compared with conventional surgery,small incision fenestration discectomy with little trauma,short operation time,rapid postoperative recovery characteristics,can be used as the main means of the treatment of lumbar disc herniation.