摘要
目的比较后路椎间盘镜(microendoscopic discectomy,MED)与常规手术治疗腰椎管狭窄症(lum-bar spinal stenosis,LSS)的优缺点、近期疗效及适应证。方法采用MED治疗腰椎管狭窄症53例,常规手术治疗腰椎管狭窄症64例,将两者的手术疗效进行统计学分析。结果MED组患者平均失血量、镇痛药使用、平均下床活动时间、平均住院日、平均恢复工作时间均少于常规手术组,而手术时间两组差异无显著性。疗效评定标准按NAKAI评定标准,优良率:MED组优良率92.4%(49/53);常规手术组优良率93.7%(60/64),两组优良率差异无显著性。结论MED与常规手术组治疗腰椎管狭窄症状疗效相当,各有优缺点,两者可根据具体情况选用。
ObjectiveTo observe advantages and shortages,short-term clinical effect and suitable conditon of microendoscopic discectomy （MED） in treatment of lumbar spinal stenosis （LSS） compared with conventional discec-tomy.Methods53 patients with lumbar spinal stenosis were treated by microendoscopic discectomy, other 64 pa-tients by conventional discectomy, the operative results of the two groups were analysed by stastics. ResultsThe average blood lessing, analgesics using, the time of leaving bed to action, the post-operative hospital stay time and the time of recovery to ordinary work or life were evaluated, the MED group all less than the conventional discecto-my group except that there was no significant difference in the operation time. According to the standard of NAKAI, the excellent and good rates in the MED group were 92.4% and 93.7% in the conventional discectomy group, there was no significant difference in the excellent and good rate.ConclusionIt had same clinical effect in treatment of lumbar spinal stenosis by MED compared with conventional discectomy, there were advantages and shortages in each other method, the treatment could be choosed based on the fact.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第2期181-184,共4页
China Journal of Endoscopy
关键词
腰椎管狭窄症
椎间盘镜
常规手术
lumbar spinal stenosis
microendoscopic discectom
conventional discectomy
