CAJ | 학술논문

目的：：分析后路椎间盘镜髓核摘除术( microendoscopic descetomy,MED)治疗腰椎间盘突出症的远期疗效。方法：选取2009年1月至2012年1月间在我院接受MED腰椎间盘突出症的35名患者为对象,并以同期接受开放式手术的43名患者为对照,比较两组手术时间、术中出血量、术后住院时间、VAS和ODI评分及复发率等指标的差异。结果：平均随访23.5(13~50)个月,MED组平均手术时间为(89.6±23.6)min,比OD组长；平均住院时间为7(5~27)d,比OD短,术中出血量为60(20~250)mL,与OD组无差异。两组VAS和ODI评分均随时间延长而明显降低,但两组间无明显差异。两组复发率分别为7.1%和8.7%,也无明显差异。结论：MED与OD手术整体疗效无明显差异,但MED明显缩短住院时间。
목적：：분석후로추간반경수핵적제술( microendoscopic descetomy,MED)치료요추간반돌출증적원기료효。방법：선취2009년1월지2012년1월간재아원접수MED요추간반돌출증적35명환자위대상,병이동기접수개방식수술적43명환자위대조,비교량조수술시간、술중출혈량、술후주원시간、VAS화ODI평분급복발솔등지표적차이。결과：평균수방23.5(13~50)개월,MED조평균수술시간위(89.6±23.6)min,비OD조장；평균주원시간위7(5~27)d,비OD단,술중출혈량위60(20~250)mL,여OD조무차이。량조VAS화ODI평분균수시간연장이명현강저,단량조간무명현차이。량조복발솔분별위7.1%화8.7%,야무명현차이。결론：MED여OD수술정체료효무명현차이,단MED명현축단주원시간。
Objective:To evaluate the long-term effect of microendoscopic descetomy ( MED) for patients with lumbar disc herniation(LDH). Methods:Thirty-five patients who were hospitalized for LDH and accepted MED during Jan. 2009 to Jan. 2012 in our hospital were selected as study subjects. Forty-three patients who accepted OD during the same period were selected as control. Compar-isons of surgical time, blood loss, time of hospital stay, VAS and ODI score, as well as recurrence rate were performed between two groups. Results:The mean following-up time was 23. 5 months (13-50). In MED group,the mean surgical time was (89. 6 ± 23. 6) minutes,longer than that in OD group. The mean duration of hospital stay was 7(5-27)days,shorter than that in control group. Blood loss during operation was 60(20-250)mL,comparative to that in OD group. VAS and ODI scores were decreased with time and no sig-nificant difference was found between groups. The recurrence rate was 7. 1% in MED group and 8. 7% in OD group. Conclusion:The o-verall effects were comparative between MED and OD,but MED can obviously shorten the length of hospital stay.