摘要
目的比较椎间盘镜手术(MED)与后路小切口开窗减压术治疗退变性腰椎管狭窄症的疗效。方法对两组手术时间,术中出血量,术后住院时间,恢复正常生活时间,术后1天及术后1周的肌酸激酶水平,术后1个月及术后1年的间歇性跛行情况、疼痛强度(VAS)及下腰痛相关性功能障碍指数(ODI)进行评定。结果除术后1年间歇性跛行、VAS及ODI比较无明显差异外,各指标比较均有统计学意义(P<0.05)。结论 MED创伤小,出血少,手术时间短,患者痛苦小,恢复快,较常规手术有更大的优越性。
Objectlve To compare the effect of spinal canal stenosis by microendoscopic discectomy （MED） and decompression with posterior minimal incision. Methods The surgical duration, the intraoperative blood loss, the time of post-operative hospital stay and the time of recovery to normal activities were evaluated. The serum levels of creatine kinase was measured 1,7 d after operation as well, and compared with control group. The neurogenic intermittent claudication（NIC） and pain intensity（ visual analog scale,VAS） and Oswe- stry Disability Index（ODI） of each group were assessed 1 month after the operation and 1 year follow-up respec- tively. Results Excepting the levels of NIC,VAS and ODIThe various indicators were significantly statistically different between the MED Group and the Open Group （ P 〈 0.05 ）. Conclusion Smaller invasion, less blood loss, shorter operation time,less pain and quicker postoperative recovery are achieved in MED treatment.
出处
《医学综述》
2012年第5期779-782,共4页
Medical Recapitulate
关键词
椎管狭窄
微创手术
腰椎间盘镜
Spinal Stenosis
Minimally invasive surgery
Microendoscopic discectomy
