骨刀斜形开窗与 UL 开窗治疗腰椎间盘突出症的疗效比较

摘要

Objective To compare the therapeutic effects between diagonal model fenestration and UL model fenestration for lumbar disc herniation.Methods 216 patients with lumbar disc herniation from June 2005 to June 2011 were divided into two groups treated with either diagonal model fenestration or UL model fenestration.The clinical data of different groups were analyzed.Results There were no significant with respect to operation time,intra-operative blood loss,hospitalization,VAS and Oswestry disability index between group A and B (P >0.05).The postoperative VAS and ODI scores were better than the preoperative outcomes (P < 0.05 ).Conclusion Both operations have definite and similar therapeutic effects.The diagonal model fenestration,which is smaller than the UL model fenestration,maintains the stability of spine.%目的：比较骨刀斜行开窗与 UL 开窗治疗腰椎间盘突出症的临床疗效。方法选择新疆医科大学第六附属医院脊柱外科2005年6月-2011年6月收治的腰椎间盘突出症患者216例，分为 UL 开窗组（A 组，98例）和斜形开窗组（B 组，118例），对两组的治疗情况和疗效进行比较分析。结果两组患者手术时间、术中出血量、住院时间、并发症发生情况和术前 VAS 及 ODI 评分均无统计学差异（P ＞0．05）。两组术后随访 VAS 评分和 ODI评分与术前相比均有明显改善（P ＜0．05）。结论骨刀斜行开窗术与 UL 开窗术对于腰椎间盘突出症疗效相当。骨刀斜形开窗因开窗面积较 UL 开窗小，能更好维持脊柱的稳定性。