中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
33期
91-91,93
,共2页
腰椎间盘突出%经多裂肌间隙入路治疗%效果%临床体会
腰椎間盤突齣%經多裂肌間隙入路治療%效果%臨床體會
요추간반돌출%경다렬기간극입로치료%효과%림상체회
Prolapse of lumbar intervertebral disc%The multifidus muscle gap approach treatment%Effect%Clinical experience
目的：探讨采用经多裂肌间隙入路治疗腰推间盘突出症的临床疗效。方法：2013年1月-2014年1月收治经多裂肌间隙入路治疗的腰椎间盘突出患者60例，观察患者的切口长度、出血量、患者的手术时间以及患者出现的并发症等情况，并且对患者 VAS 和 JOA 进行评分。结果：患者手术切口4～6 cm，平均5 cm；患者手术时间80～150 min，平均110 min；患者术中出血量100～400 mL，平均120 mL；术后对患者进行随访8～15个月，平均随访12个月，没有发现并发症患者。对患者末次随访中，患者的VAS腰痛评分从术前(7.23±1.78)分降至(2.33±1.72)分，患者VAS 腿痛评分从术前平均(7.46±1.62)分降至(2.41±1.61)分，患者 JOA 评分从术前平均(10.38±3.29)分增至(22.89±3.17)分，差异有统计学意义(P＜0.05)。结论：腰椎间盘突出症采用经多裂肌间隙入路治疗，其并发症少、疗效明显，是治疗腰椎间盘突出的一项理想的治疗手段。
目的：探討採用經多裂肌間隙入路治療腰推間盤突齣癥的臨床療效。方法：2013年1月-2014年1月收治經多裂肌間隙入路治療的腰椎間盤突齣患者60例，觀察患者的切口長度、齣血量、患者的手術時間以及患者齣現的併髮癥等情況，併且對患者 VAS 和 JOA 進行評分。結果：患者手術切口4～6 cm，平均5 cm；患者手術時間80～150 min，平均110 min；患者術中齣血量100～400 mL，平均120 mL；術後對患者進行隨訪8～15箇月，平均隨訪12箇月，沒有髮現併髮癥患者。對患者末次隨訪中，患者的VAS腰痛評分從術前(7.23±1.78)分降至(2.33±1.72)分，患者VAS 腿痛評分從術前平均(7.46±1.62)分降至(2.41±1.61)分，患者 JOA 評分從術前平均(10.38±3.29)分增至(22.89±3.17)分，差異有統計學意義(P＜0.05)。結論：腰椎間盤突齣癥採用經多裂肌間隙入路治療，其併髮癥少、療效明顯，是治療腰椎間盤突齣的一項理想的治療手段。
목적：탐토채용경다렬기간극입로치료요추간반돌출증적림상료효。방법：2013년1월-2014년1월수치경다렬기간극입로치료적요추간반돌출환자60례，관찰환자적절구장도、출혈량、환자적수술시간이급환자출현적병발증등정황，병차대환자 VAS 화 JOA 진행평분。결과：환자수술절구4～6 cm，평균5 cm；환자수술시간80～150 min，평균110 min；환자술중출혈량100～400 mL，평균120 mL；술후대환자진행수방8～15개월，평균수방12개월，몰유발현병발증환자。대환자말차수방중，환자적VAS요통평분종술전(7.23±1.78)분강지(2.33±1.72)분，환자VAS 퇴통평분종술전평균(7.46±1.62)분강지(2.41±1.61)분，환자 JOA 평분종술전평균(10.38±3.29)분증지(22.89±3.17)분，차이유통계학의의(P＜0.05)。결론：요추간반돌출증채용경다렬기간극입로치료，기병발증소、료효명현，시치료요추간반돌출적일항이상적치료수단。
Objective:To explore the clinical effect of prolapse of lumbar intervertebral disc treated with the multifidus muscle gap approach.Methods:60 patients with lumbar disc herniation treated with the multifidus muscle gap approach were selected from January 2013 to January 2014.We observed the incision length,bleeding volume,operation time and complications,and made scores of VAS and JOA.Results:Operation incision was 4 to 6 cm,and the average was 5 cm;operation time was 80 to 150 min,and the average was 110 min;the amount of bleeding was 100 to 400 mL,and the average was 120 mL;after the operation,the patients were followed up for 8 to 15 months,and the average follow-up time was 12 months.There was no complications in patients.At the last follow-up,the VAS score was decreased from preoperative (7.23±1.78) to (2.33±1.72);patients with VAS pain score was decreased from (7.46±1.62) to (2.41±1.61)%;the JOA score was increased from (10.38±3.29) to (22.89±3.17);the differences were significant(P<0.05).Conclusion:Lumbar disc herniation is treated with the multifidus muscle gap approach.The complications are few.The therapeutic effect is obvious.It is an ideal therapy for the treatment of lumbar disc herniation.
