中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
88-89
,共2页
腰椎间盘突出症%手术治疗%疗效
腰椎間盤突齣癥%手術治療%療效
요추간반돌출증%수술치료%료효
Lumbar disc disease%Surgical treatment%The curative effect
目的：分析在治疗腰间盘突出症的过程中利用两种术式的临床效果对比情况。方法从2011年1月—2014年6月来该院进行腰间盘突出症治疗的患者病例中随机选取62例，采用回顾式分析方式，将62例患者为两个小组，其中一组患者采取单纯髓核摘除术进行治疗，作为研究组，共29例；另外一组患者则采用的是融合内固定术进行治疗，做为对照组，共33例。分别对两组患者影响手术疗效的因素进行分析，对治疗后治疗效果进行对比，并对患者术中出血量、手术时间、住院时间以及症状缓解时间进行对比分析。结果研究组患者治疗后腰疼指数为(12.57±1.03)分，低于对照组(12.76±1.09)分，研究组患者总有效率为96.55%，略高于对照组90.91%。研究组中有1例(3.45%)出现复发的情况，对照组有2例(6.06%)。两组数据之间无明显，差异无统计学意义(P>0.05)。另外研究组患者的术中出血量、住院时间、手术平均时间均小于对照组患者，两组数据之间存在明显，差异有统计学意义(P<0.05)。结论在治疗腰间盘突出症的过程中，运用单纯髓核摘除术和融合内固定术疗效较好，手术操作简便，术中出血量少，患者术后恢复快，且复发率较低。
目的：分析在治療腰間盤突齣癥的過程中利用兩種術式的臨床效果對比情況。方法從2011年1月—2014年6月來該院進行腰間盤突齣癥治療的患者病例中隨機選取62例，採用迴顧式分析方式，將62例患者為兩箇小組，其中一組患者採取單純髓覈摘除術進行治療，作為研究組，共29例；另外一組患者則採用的是融閤內固定術進行治療，做為對照組，共33例。分彆對兩組患者影響手術療效的因素進行分析，對治療後治療效果進行對比，併對患者術中齣血量、手術時間、住院時間以及癥狀緩解時間進行對比分析。結果研究組患者治療後腰疼指數為(12.57±1.03)分，低于對照組(12.76±1.09)分，研究組患者總有效率為96.55%，略高于對照組90.91%。研究組中有1例(3.45%)齣現複髮的情況，對照組有2例(6.06%)。兩組數據之間無明顯，差異無統計學意義(P>0.05)。另外研究組患者的術中齣血量、住院時間、手術平均時間均小于對照組患者，兩組數據之間存在明顯，差異有統計學意義(P<0.05)。結論在治療腰間盤突齣癥的過程中，運用單純髓覈摘除術和融閤內固定術療效較好，手術操作簡便，術中齣血量少，患者術後恢複快，且複髮率較低。
목적：분석재치료요간반돌출증적과정중이용량충술식적림상효과대비정황。방법종2011년1월—2014년6월래해원진행요간반돌출증치료적환자병례중수궤선취62례，채용회고식분석방식，장62례환자위량개소조，기중일조환자채취단순수핵적제술진행치료，작위연구조，공29례；령외일조환자칙채용적시융합내고정술진행치료，주위대조조，공33례。분별대량조환자영향수술료효적인소진행분석，대치료후치료효과진행대비，병대환자술중출혈량、수술시간、주원시간이급증상완해시간진행대비분석。결과연구조환자치료후요동지수위(12.57±1.03)분，저우대조조(12.76±1.09)분，연구조환자총유효솔위96.55%，략고우대조조90.91%。연구조중유1례(3.45%)출현복발적정황，대조조유2례(6.06%)。량조수거지간무명현，차이무통계학의의(P>0.05)。령외연구조환자적술중출혈량、주원시간、수술평균시간균소우대조조환자，량조수거지간존재명현，차이유통계학의의(P<0.05)。결론재치료요간반돌출증적과정중，운용단순수핵적제술화융합내고정술료효교호，수술조작간편，술중출혈량소，환자술후회복쾌，차복발솔교저。
Objective To compare the effects of the kinds of operations in treating lumbar disc herniation. Methods A retrospec-tive analysis was carried out on 62 patients with lumbar disc herniation treated in our hospital between January 2011 and June 2014. They were divided into study group in which the 29 patients simple lumbar discectomy, and control group in which the 33 patients were treated with fusion and internal fixation. Influencing factors on the operation were analyzed for the two groups and intraoperative blood loss, operation duration, hospitalization time, symptom remission time, treatment effects were compared be-tween the two groups. Results The pain scores were lower and overall effective rate higher in the study group than in the control group(12.57±1.03) vs (12.76±1.09) and 96.55%vs 90.91%, and there was 1 case (3.45%) of recurrence in the study group and 2 cases (6.06%) in the control group, but the differences above were not statistically significant, P>0.05. In addition, in the aspects of intraoperative blood loss, hospitalization time, mean operation duration, the study group was less than the control group with sta-tistically significant differences, P<0.05. Conclusion Simple lumbar discectomy and fusion and internal fixation, in the treatment of lumbar disc herniation, both have good effect, and both of them are easy to operate, less in intraoperative blood loss, quick in re-covery and lower in recurrence.
