中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
27-28
,共2页
小切口手术%腰椎间盘突出症%症状评分%疗效
小切口手術%腰椎間盤突齣癥%癥狀評分%療效
소절구수술%요추간반돌출증%증상평분%료효
Small incision surgery%Lumbar disc herniation%Symptom score%Effect
目的：总结腰椎间盘突出症的小切口手术经验，探讨手术方法及注意事项。方法对2008年2月-2012年3月院科行不同术式的67例腰椎间盘突出症患者采用小切口手术治疗，另取同期60例行传统术式患者为对照，比较两组术后症状评分及疗效。结果经随访，观察组优良率92.54%高于对照组76.67%；术后1年及2年，观察组优94.02%高于对照组80.00%，差异有统计学意义(P<0.05)。结论小切口腰椎间盘手术损伤小，摘除髓核及神经根管减压充分，术后恢复快，疗效满意，值得临床推广。
目的：總結腰椎間盤突齣癥的小切口手術經驗，探討手術方法及註意事項。方法對2008年2月-2012年3月院科行不同術式的67例腰椎間盤突齣癥患者採用小切口手術治療，另取同期60例行傳統術式患者為對照，比較兩組術後癥狀評分及療效。結果經隨訪，觀察組優良率92.54%高于對照組76.67%；術後1年及2年，觀察組優94.02%高于對照組80.00%，差異有統計學意義(P<0.05)。結論小切口腰椎間盤手術損傷小，摘除髓覈及神經根管減壓充分，術後恢複快，療效滿意，值得臨床推廣。
목적：총결요추간반돌출증적소절구수술경험，탐토수술방법급주의사항。방법대2008년2월-2012년3월원과행불동술식적67례요추간반돌출증환자채용소절구수술치료，령취동기60례행전통술식환자위대조，비교량조술후증상평분급료효。결과경수방，관찰조우량솔92.54%고우대조조76.67%；술후1년급2년，관찰조우94.02%고우대조조80.00%，차이유통계학의의(P<0.05)。결론소절구요추간반수술손상소，적제수핵급신경근관감압충분，술후회복쾌，료효만의，치득림상추엄。
Objective To sum up the experience of small incision operation of lumbar disc herniation, to explore the operation method and the matters needing attention. Methods 67 cases of lumbar surgery from February 2008 to March 2012 in our depart-ment for the lumbar disc herniation were treated by small incision operation treatment, the other from the same 60 patients with traditional surgery as the control group, symptoms score and efficacy were compared between the two groups. Results All the pa-tients were followed up, the excellent and good rate was 92.54% in observation group was higher than that of the control group 76.67%,after 1 years and 2 years, Observation group 94.02% higher than the control group 80%, the difference was statistically significant (P<0.05). Conclusion The small incision operation of lumbar intervertebral disc injury, removal of nucleus pulposus and the nerve root canal decompression, rapid recovery after operation, the curative effect is satisfied, is worth the clinical promotion.
