中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
14期
132-134
,共3页
刘刚%王重阳%黄小平%罗斌
劉剛%王重暘%黃小平%囉斌
류강%왕중양%황소평%라빈
显微手术%开放手术%骶管囊肿%疗效
顯微手術%開放手術%骶管囊腫%療效
현미수술%개방수술%저관낭종%료효
Microsurgery%Open surgery%Sacral canal cyst%Curative effect
目的 分析显微手术治疗骶管囊肿的临床疗效.方法 以我院2012年6月~2014年10月收治的35例骶管囊肿患者为研究组,均接受显微手术治疗,选择2008年6月~2012年6月行开放手术的30例骶管囊肿患者为对照组,术后平均随访18个月,比较两组手术情况、临床疗效、并发症发生率、VAS评分及ODI评分. 结果 两组手术时间[(31.12±5.71)vs(119.15±13.12)]min、术中出血量[(2.02±0.95)vs (544.20±97.72)]mL、住院时间[(8.46±4.05)vs(19.65±8.00)]d、末次随访VAS评分[(0.74±0.65)vs (2.20±1.51)]分及ODI评分[(8.11±6.34)vs(23.27±13.78)]分,比较差异显著(P<0.05).另外研究组并发症发生率25.00%,与对照组的100.00%比较,差异显著(P<0.01).结论 相比开放手术,显微手术治疗骶管囊肿具有微创、术中出血量少、并发症少、疗效明确等特点.
目的 分析顯微手術治療骶管囊腫的臨床療效.方法 以我院2012年6月~2014年10月收治的35例骶管囊腫患者為研究組,均接受顯微手術治療,選擇2008年6月~2012年6月行開放手術的30例骶管囊腫患者為對照組,術後平均隨訪18箇月,比較兩組手術情況、臨床療效、併髮癥髮生率、VAS評分及ODI評分. 結果 兩組手術時間[(31.12±5.71)vs(119.15±13.12)]min、術中齣血量[(2.02±0.95)vs (544.20±97.72)]mL、住院時間[(8.46±4.05)vs(19.65±8.00)]d、末次隨訪VAS評分[(0.74±0.65)vs (2.20±1.51)]分及ODI評分[(8.11±6.34)vs(23.27±13.78)]分,比較差異顯著(P<0.05).另外研究組併髮癥髮生率25.00%,與對照組的100.00%比較,差異顯著(P<0.01).結論 相比開放手術,顯微手術治療骶管囊腫具有微創、術中齣血量少、併髮癥少、療效明確等特點.
목적 분석현미수술치료저관낭종적림상료효.방법 이아원2012년6월~2014년10월수치적35례저관낭종환자위연구조,균접수현미수술치료,선택2008년6월~2012년6월행개방수술적30례저관낭종환자위대조조,술후평균수방18개월,비교량조수술정황、림상료효、병발증발생솔、VAS평분급ODI평분. 결과 량조수술시간[(31.12±5.71)vs(119.15±13.12)]min、술중출혈량[(2.02±0.95)vs (544.20±97.72)]mL、주원시간[(8.46±4.05)vs(19.65±8.00)]d、말차수방VAS평분[(0.74±0.65)vs (2.20±1.51)]분급ODI평분[(8.11±6.34)vs(23.27±13.78)]분,비교차이현저(P<0.05).령외연구조병발증발생솔25.00%,여대조조적100.00%비교,차이현저(P<0.01).결론 상비개방수술,현미수술치료저관낭종구유미창、술중출혈량소、병발증소、료효명학등특점.
Objective To analyze the curative effect of microsurgery in the treatment of sacral canal cyst. Methods 35 patients with sacral canal cyst,who were admitted to our hospital from June 2012 to October 2014,were selected as research group,and were all received microsurgery.30 patients with sacral canal cyst,who were received open surgery from June 2008 to June 2012,were selected as control group.The average postoperative follow-up visit time was 18 months,and operations,curative effect,incidence of complications,VAS score and ODI score of both groups were compared.ResultsThe difference of surgical time [(31.12±5.71) vs (119.15±13.12)]min,amount of bleeding [(2.02±0.95) vs (544.20±97.72)]mL, hospitalization time [(8.46±4.05)vs (19.65±8.00)]d,VAS scores of last follow-up visit [(0.74±0.65) vs (2.20±1.51)] and ODI score [(8.11±6.34) vs(23.27±13.78)] were significantly different(P<0.05).The rate of incidence of complications in research group was 25.00%,which was significantly different from 100.00% in control group(P<0.01). Conclusion Comparing with open surgery,microsurgery has the advantages of minimal invasion,little amount of bleeding,few complications and clear curative effect.
