临床和实验医学杂志
臨床和實驗醫學雜誌
림상화실험의학잡지
JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE
2015年
9期
753-756
,共4页
腰椎间盘突出症%髓核摘除%骶棘肌复位缝合%骶棘肌游离
腰椎間盤突齣癥%髓覈摘除%骶棘肌複位縫閤%骶棘肌遊離
요추간반돌출증%수핵적제%저극기복위봉합%저극기유리
Lumbar disc herniation%Resection of nucleus pulposus%Suture with sacrospinal muscle reposition%Suture with sacrospinal muscle floating
目的：对比分析后路单纯椎板间隙开窗髓核摘除术中骶棘肌复位缝合法与传统骶棘肌游离法治疗腰椎间盘突出症的临床效果，探讨骶棘肌复位缝合法的应用价值。方法回顾性分析2009年6月至2013年7月单节段腰椎间盘突出症患者80例，按照治疗方式的不同分为观察组（行骶棘肌复位缝合法治疗）和对照组（行传统骶棘肌游离法治疗），比较两组术后引流量、并发症发生情况、术后住院天数，手术前后视觉模拟评分（VAS）和功能障碍评分（ODI），以及患者术后48 h 血红蛋白丢失率。结果观察组、对照组术后引流量分别为（121.4±12.8）ml、（159.7±14.3）ml，血红蛋白丢失率分别为（1.4±0.6）%、（2.3±0.8）%，术后 ODI 评分分别为（11.6±7.3）分、（15.4±8.8）分，以上项目两组差异明显，均有统计学意义（ P <0.05）。两组术后住院时间分别为（9.3±1.1）d、（9.4±1.3）d，两组术后 VAS 评分分别为（2.1±1.8）分、（2.7±1.9）分，以上项目两组比较差异均无统计学意义（ P >0.05）。观察组并发症发生例数少于对照组，但差异无统计学意义（ P >0.05）。结论骶棘肌复位缝合法具有术后引流量少、并发症发生率低、术后 ODI 评分值及术后48 h 血红蛋白丢失率低等优点，是一种良好的手术方式，值得临床推广应用。
目的：對比分析後路單純椎闆間隙開窗髓覈摘除術中骶棘肌複位縫閤法與傳統骶棘肌遊離法治療腰椎間盤突齣癥的臨床效果，探討骶棘肌複位縫閤法的應用價值。方法迴顧性分析2009年6月至2013年7月單節段腰椎間盤突齣癥患者80例，按照治療方式的不同分為觀察組（行骶棘肌複位縫閤法治療）和對照組（行傳統骶棘肌遊離法治療），比較兩組術後引流量、併髮癥髮生情況、術後住院天數，手術前後視覺模擬評分（VAS）和功能障礙評分（ODI），以及患者術後48 h 血紅蛋白丟失率。結果觀察組、對照組術後引流量分彆為（121.4±12.8）ml、（159.7±14.3）ml，血紅蛋白丟失率分彆為（1.4±0.6）%、（2.3±0.8）%，術後 ODI 評分分彆為（11.6±7.3）分、（15.4±8.8）分，以上項目兩組差異明顯，均有統計學意義（ P <0.05）。兩組術後住院時間分彆為（9.3±1.1）d、（9.4±1.3）d，兩組術後 VAS 評分分彆為（2.1±1.8）分、（2.7±1.9）分，以上項目兩組比較差異均無統計學意義（ P >0.05）。觀察組併髮癥髮生例數少于對照組，但差異無統計學意義（ P >0.05）。結論骶棘肌複位縫閤法具有術後引流量少、併髮癥髮生率低、術後 ODI 評分值及術後48 h 血紅蛋白丟失率低等優點，是一種良好的手術方式，值得臨床推廣應用。
목적：대비분석후로단순추판간극개창수핵적제술중저극기복위봉합법여전통저극기유리법치료요추간반돌출증적림상효과，탐토저극기복위봉합법적응용개치。방법회고성분석2009년6월지2013년7월단절단요추간반돌출증환자80례，안조치료방식적불동분위관찰조（행저극기복위봉합법치료）화대조조（행전통저극기유리법치료），비교량조술후인류량、병발증발생정황、술후주원천수，수술전후시각모의평분（VAS）화공능장애평분（ODI），이급환자술후48 h 혈홍단백주실솔。결과관찰조、대조조술후인류량분별위（121.4±12.8）ml、（159.7±14.3）ml，혈홍단백주실솔분별위（1.4±0.6）%、（2.3±0.8）%，술후 ODI 평분분별위（11.6±7.3）분、（15.4±8.8）분，이상항목량조차이명현，균유통계학의의（ P <0.05）。량조술후주원시간분별위（9.3±1.1）d、（9.4±1.3）d，량조술후 VAS 평분분별위（2.1±1.8）분、（2.7±1.9）분，이상항목량조비교차이균무통계학의의（ P >0.05）。관찰조병발증발생례수소우대조조，단차이무통계학의의（ P >0.05）。결론저극기복위봉합법구유술후인류량소、병발증발생솔저、술후 ODI 평분치급술후48 h 혈홍단백주실솔저등우점，시일충량호적수술방식，치득림상추엄응용。
Objective To compare the clinical efficacy of suture with sacrospinal muscle reposition and suture with sacrospinal muscle floating and evaluate the value of suture with sacrospinal muscle reposition for the treatment of lumbar disc herniation. Methods Eighty cases of lumbar disc herniation treated in our hospital from June 2009 to July 2013 were retrospective analyzed. They were divided into observation group and control group by different ways of treatment. The observation group received suture with sacrospinal muscle reposition treatment,the control group received suture with sacrospinal muscle floating treatment. Compare the efficacy differences between the two groups in postoperative drain-age,complications,postoperative hospital stay,visual analog scale(VAS)and functional disability scores(ODI)before and after surgery,and 48 h postoperative hemoglobin loss rate. Results The postoperative drainage in observation group and control group were 121. 4 ± 12. 8 ml,159. 7 ± 14. 3 ml,hemoglobin loss ratio were 1. 4 ± 0. 6% ,2. 3 ± 0. 8% ,ODI score after operation were 11. 6 ± 7. 3 points,15. 4 ± 8. 8 points,there were significant differences between the two groups in these parameters(all P < 0. 05). The postoperative hospital stay in observation group and control group were 9. 3 ± 1. 1 d,9. 4 ± 1. 3 d,postoperative VAS scores were 2. 1 ± 1. 8 points,2. 7 ± 1. 9 points,the difference in the two param-eters were not statistically significant(all P > 0. 05). Conclusion Suture with sacrospinal muscle reposition has less postoperative drainage,low complication rate,postoperative ODI scores and hemoglobin loss rate. It is a good surgical approach worthy of clinical use.
