中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
22期
61-63
,共3页
后路椎间盘镜手术%青壮年%腰椎间盘突出%椎管狭窄%相关因素
後路椎間盤鏡手術%青壯年%腰椎間盤突齣%椎管狹窄%相關因素
후로추간반경수술%청장년%요추간반돌출%추관협착%상관인소
Microendoscopic discectomy%Young adults%Lumbar disc herniation%Spinal canal stenosis%Relevant factor
目的：观察后路椎间盘镜手术治疗青壮年腰椎间盘突出合并椎管狭窄的临床疗效，同时对影响疗效的相关因素进行分析。方法：回顾性分析2011年7月-2013年8月在本院骨外科进行后路椎间盘镜手术治疗的56例腰椎间盘突出合并椎管狭窄的青壮年患者的临床资料，观察临床效果，并对可能影响疗效的相关因素进行分析。结果：所有患者均顺利完成手术，术后随访4~24个月，优43例，良11例，可2例，差0例，优良率96.4%；VAS改善率92.3%。单因素分析发现病程、发病诱因、突出类型、突出位置与腰椎间盘突出症预后差异有统计学意义（P<0.05），其中多因素Logistic回归分析表明病程、发病诱因是影响疗效的危险因素。结论：后路椎间盘镜手术对青壮年腰椎间盘突出症的治疗疗效显著，有创伤小、恢复快等优点，可作为首选手术方法之一。此外病程和发病诱因是影响该术式疗效的危险因素，应对其进行及时干预，以提高疗效。
目的：觀察後路椎間盤鏡手術治療青壯年腰椎間盤突齣閤併椎管狹窄的臨床療效，同時對影響療效的相關因素進行分析。方法：迴顧性分析2011年7月-2013年8月在本院骨外科進行後路椎間盤鏡手術治療的56例腰椎間盤突齣閤併椎管狹窄的青壯年患者的臨床資料，觀察臨床效果，併對可能影響療效的相關因素進行分析。結果：所有患者均順利完成手術，術後隨訪4~24箇月，優43例，良11例，可2例，差0例，優良率96.4%；VAS改善率92.3%。單因素分析髮現病程、髮病誘因、突齣類型、突齣位置與腰椎間盤突齣癥預後差異有統計學意義（P<0.05），其中多因素Logistic迴歸分析錶明病程、髮病誘因是影響療效的危險因素。結論：後路椎間盤鏡手術對青壯年腰椎間盤突齣癥的治療療效顯著，有創傷小、恢複快等優點，可作為首選手術方法之一。此外病程和髮病誘因是影響該術式療效的危險因素，應對其進行及時榦預，以提高療效。
목적：관찰후로추간반경수술치료청장년요추간반돌출합병추관협착적림상료효，동시대영향료효적상관인소진행분석。방법：회고성분석2011년7월-2013년8월재본원골외과진행후로추간반경수술치료적56례요추간반돌출합병추관협착적청장년환자적림상자료，관찰림상효과，병대가능영향료효적상관인소진행분석。결과：소유환자균순리완성수술，술후수방4~24개월，우43례，량11례，가2례，차0례，우량솔96.4%；VAS개선솔92.3%。단인소분석발현병정、발병유인、돌출류형、돌출위치여요추간반돌출증예후차이유통계학의의（P<0.05），기중다인소Logistic회귀분석표명병정、발병유인시영향료효적위험인소。결론：후로추간반경수술대청장년요추간반돌출증적치료료효현저，유창상소、회복쾌등우점，가작위수선수술방법지일。차외병정화발병유인시영향해술식료효적위험인소，응대기진행급시간예，이제고료효。
Objective:To observe posterior discectomy for lumbar disc surgery clinical efficacy in young adults with spinal stenosis,while the relevant factors affecting the efficacy. Method:A retrospective analysis on clinical data from July 2011 to August 2013 in our hospital orthopedic surgery performed posterior discectomy surgery 56 lumbar disc herniation with spinal stenosis young patients,to observe clinical effects,and analyze influence factors. Result:All the patients successfully completed surgery,postoperative follow-up of 4 to 24 months,excellent in 43 cases,good in 11 cases,fair 2 cases and no poor case. The good rate was 96.4%,and VAS improvement rate was 92.3%. Univariate analysis showed that duration,predisposing factors, highlight the type of lumbar disc herniation in a prominent position and the prognosis was significant(P<0.05),which Multivariate Logistic regression analysis showed that duration,predisposing factors were risk factors on the efficacy of microendoscopic discectomy. Conclusion:Posterior discectomy for lumbar disc herniation treatment of young adults significant effect,there is less trauma,quicker recovery,can be used as one of the preferred surgical method. Moreover course and risk factors predisposingfactors affecting the surgical efficacy,and should be a timely intervention to improve the outcome.
