中国医药指南
中國醫藥指南
중국의약지남
Guide of China Medicine
2015年
25期
16-17,18
,共3页
Quadrant可扩张通管道系统%脊柱微创%中药治疗%腰椎间盘突出症
Quadrant可擴張通管道繫統%脊柱微創%中藥治療%腰椎間盤突齣癥
Quadrant가확장통관도계통%척주미창%중약치료%요추간반돌출증
Quadrant expand channels through system%Minimally invasive spine%Chinese medicine treatment%Lumbar disc herniation
目的：探讨应用Quadrant可扩张通管道系统微创手术结合中药治疗腰椎间盘突出症疗效观察，探讨其临床适用性。方法选择2012年7月至2014年7月行应用Quadrant可扩张通管道系统微创手术治疗腰椎间盘突出症的68例患者为研究病例，随机分为试验组和对照组，每组各34例，实验组应用Quadrant可扩张通管道系统微创手术结合中药治疗，对照组患者只应用Quadrant可扩张通管道系统微创手术治疗。我们采取JOA下腰痛疗效标准评分，参照中华骨科学会脊柱学组腰背痛手术评定标准来评价症状缓解及神经功能改善等情况。结果试验组有31例在手术结合中医治疗后，症状缓解及神经功能改善等情况取得优良效果，优良率为91.2%，对照组优良人数为27例，优良率为79.4%，两组患者优良率比较，差异有统计学意义（P＜0.05）；两组患者治疗前采用JOA下腰痛疗效标准评分，差异无统计学意义（P＞0.05），治疗后两组患者JOA评分比较，差异有统计学意义（P＜0.05）。结论应用Quadrant可扩张通管道系统微创手术结合中药治疗腰椎间盘突出症疗效观察显著，值得临床应用推广。
目的：探討應用Quadrant可擴張通管道繫統微創手術結閤中藥治療腰椎間盤突齣癥療效觀察，探討其臨床適用性。方法選擇2012年7月至2014年7月行應用Quadrant可擴張通管道繫統微創手術治療腰椎間盤突齣癥的68例患者為研究病例，隨機分為試驗組和對照組，每組各34例，實驗組應用Quadrant可擴張通管道繫統微創手術結閤中藥治療，對照組患者隻應用Quadrant可擴張通管道繫統微創手術治療。我們採取JOA下腰痛療效標準評分，參照中華骨科學會脊柱學組腰揹痛手術評定標準來評價癥狀緩解及神經功能改善等情況。結果試驗組有31例在手術結閤中醫治療後，癥狀緩解及神經功能改善等情況取得優良效果，優良率為91.2%，對照組優良人數為27例，優良率為79.4%，兩組患者優良率比較，差異有統計學意義（P＜0.05）；兩組患者治療前採用JOA下腰痛療效標準評分，差異無統計學意義（P＞0.05），治療後兩組患者JOA評分比較，差異有統計學意義（P＜0.05）。結論應用Quadrant可擴張通管道繫統微創手術結閤中藥治療腰椎間盤突齣癥療效觀察顯著，值得臨床應用推廣。
목적：탐토응용Quadrant가확장통관도계통미창수술결합중약치료요추간반돌출증료효관찰，탐토기림상괄용성。방법선택2012년7월지2014년7월행응용Quadrant가확장통관도계통미창수술치료요추간반돌출증적68례환자위연구병례，수궤분위시험조화대조조，매조각34례，실험조응용Quadrant가확장통관도계통미창수술결합중약치료，대조조환자지응용Quadrant가확장통관도계통미창수술치료。아문채취JOA하요통료효표준평분，삼조중화골과학회척주학조요배통수술평정표준래평개증상완해급신경공능개선등정황。결과시험조유31례재수술결합중의치료후，증상완해급신경공능개선등정황취득우량효과，우량솔위91.2%，대조조우량인수위27례，우량솔위79.4%，량조환자우량솔비교，차이유통계학의의（P＜0.05）；량조환자치료전채용JOA하요통료효표준평분，차이무통계학의의（P＞0.05），치료후량조환자JOA평분비교，차이유통계학의의（P＜0.05）。결론응용Quadrant가확장통관도계통미창수술결합중약치료요추간반돌출증료효관찰현저，치득림상응용추엄。
Objective To study the application of Quadrant can expand channels through system of minimally invasive surgery combined with traditional Chinese medicine (TCM) observe the curative effect of treating lumbar intervertebral disc protrusion, to explore the clinical applicability.Method Choice in July 2012 to July 2014 lines of Quadrant can expand channels through systems of minimally invasive surgical treatment of lumbar disc prolapse as study cases, 68 patients were randomly divided into experimental group and control group, each group of the 34 cases, experimental application of Quadrant can expansion pipe system of minimally invasive surgery combined with traditional Chinese medicine treatment, control group patients only application of Quadrant can expansion pipe system of minimally invasive surgery. We take the JOA score, low back pain curative standard reference of orthopedic spine surgery group low back pain assessment standard to evaluation of symptoms and nervous function improvement, and so on and so forth.Results Patients have 31 cases after surgery combined with traditional Chinese medicine treatment, alleviate symptoms and nervous function to improve, and so on and so forth have good effect and ifne rate was 91.2%, excellent control number for 27 cases, ifne rate was 79.4%, two groups of patients was compared, the difference was statistically significant (P<0.05); two groups of patients before treatment by JOA score low back pain curative standard, there was no statistically signiifcant difference (P>0.05), JOA score compared two groups of patients after treatment, the difference was statistically signiifcant (P<0.05). Conclusion Application of Quadrant can expand through pipeline system of minimally invasive surgery combined with Traditional Chinese Medicine (TCM) observed the curative effect of treating lumbar intervertebral disc protrusion, worth clinical promotion.
