Objective To study the therapeutic effects of microendoscopic discectomy with smallincision fenestration discectomy for lumbar disc bemiation.Methods The clinical data of 68 patients who underwent lumbar disc herniation in Taihe Hospital Affiliated to Hubei University of Medicine during April 2010 and April 2011 were collected,and randomly divided into observation group and control group,34 cases in each group.The observation group was treated with small-incision fenestration discectomy,the control group were treated with microendoscopic discectomy.The clinical efficacy of the two groups was observed.Results The VAS and ODI in both groups were reduced significantly after operation (P ＜ 0.05) and there were no significant differences between the two groups (P ＞ 0.05).The operating time of the observation group was shorter and blood loss was more than those of the control group(P ＜0.05).Conclusion Microendoscopic discectomy and small-incision fenestration discectomy both have own advantages and disadvantages for lumbar disc herniation with similar therapeutic effect,and the optimal solution can be chosen according to the particular situation.%目的 探讨小切口椎板开窗术与显微内镜下髓核摘除术治疗腰椎间盘突出症的临床疗效.方法 选择2010年4月至2011年4月由湖北医药学院附属太和医院收治的腰椎间盘突出症患者68例,根据随机数字表法分为两组:观察组34例,接受小切口椎板开窗术治疗；对照组34例,给予显微内镜下髓核摘除术.观察两组的临床疗效.结果 两组患者术后腰痛视觉模拟量表(VAS)评分及Oswestry功能障碍指数(ODI)评分均较术前显著下降(P＜0.05),但两组间比较差异无统计学意义(P＞0.05)；观察组手术时间显著短于对照组,但术中出血量显著多于对照组,差异均有统计学意义(P＜0.05).结论 小切口椎板开窗术与显微内镜下髓核摘除术治疗腰椎间盘突出症的疗效相当,各有优缺点,医师可根据临床情况选用最佳方案.
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