运用后路椎间盘镜下髓核摘除治疗腰椎间盘突出症的临床研究∗

摘要

目的：：探讨后路椎间盘镜下髓核摘除手术治疗腰椎间盘突出症的手术效果。方法：对解放军第十医院2012年6月至2014年1月之间的140例腰椎间盘突出症患者随机分组,分别给予后路椎间盘镜下髓核摘除术和椎板间开窗髓核摘除术,对其手术效果、不良反应、Oswestry 功能障碍指数进行研究和分析。结果：实验组患者平均术后可下床活动天数为3.5±4.5d,平均术后住院天数为6.5±11d,平均手术时间为45±20min,平均出血量在60±20ml,均明显优于传统椎板间开窗髓核摘除术。实验组 Macnab 评分优良率为92.9%,Oswestry 功能障碍指数术后优于术前。结论：后路椎间盘镜下髓核摘除术在治疗腰椎间盘突出症方面,有在临床上进一步使用和推广的价值及前景。%Objective:Explore the operation effects of using posterior micro-endoscopic discectomy to treat lumbar disc herniation.Methods:140 cases who had lumbar disc herniation from Tenth Hospital of PLA be-tween 2012 June and 2014 January were random assigned,one group were given posterior micro-endoscopy discecto-my,one group were treated by intervertebral fenestration discectomy.Analysis the operation effect,adverse reaction and Oswestry disability index.Results:The average activity days of group MED was 3.5±4.5,The average hospi-talization days of group MED was 6.5±1 1,the average operation time of group MED was (45±20)min,the aver-age bleeding quantity of group MED was (60 ± 20)ml.These indexes were better than those of group interverte-bral fenestration discectomy.The rate of MED’s Macnab score were 91.1%,The score of postoperative’s Oswestry disability index is better than preoperative.Conclusion :Posterior micro-endoscopy discectomy is good at treating lumbar disc herniation and it has prospect in clinical for further use and promotion.