摘要
目的比较后路椎间盘镜髓核摘除术(MED)与开放椎板开窗术(OD)治疗腰椎间盘突出症(LDH)的临床疗效。方法回顾性分析本院手术治疗LDH的170例患者临床资料,根据手术方式分为MED组和OD组,比较2组患者的手术时间、术中出血量、术后卧床时间、住院时间及远期临床效果。结果 MED组和OD组患者手术时间、术中出血量、术后卧床时间、住院时间比较,差异均有统计学意义(P<0.05);2组患者术后1个月的临床疗效比较,差异有统计学意义(P<0.05);2组患者术后3个月、6个月的临床疗效比较,差异均无统计学意义(P>0.05)。结论 MED与OD治疗腰椎间盘突出症均取得满意临床效果,但MED优势更明显。
Objective To compare the clinical efficacy between microendoscopic discectomy （MED） and open discectomy （OD） in treating lumbar intervertebral disc herniation （LIDH） pa- tients. Methods The material of 170 LIDH patients was retrospectively analyzed in our hospital according to operation type and that patients were divided into IVIED group and OD group. The op- eration time, amount of bleeding in operation, rest time on bed after operation, hospitalization time, and long- term clinical results were compared. Results The difference was statistically sig- nificant in the operation time, amount of bleeding in operation, rest time on bed after operation, hospitalization time in the MED group and OD group （P 〈 0.05）. The difference of clinical efficacy after 1 month operation of the two groups was also statistically significant （P 〈 0.05）. However, The difference of clinical efficacy after 3 and 6 months o{ operation was not statistically significant （P 〉0.05）. Conclusions IVIED group and OD group could both achieve satisfactory clinical effica- cy in treating LIDH patients, while the advantage of the IVIED was more obvious.
出处
《实用临床医药杂志》
CAS
2014年第3期46-48,共3页
Journal of Clinical Medicine in Practice
关键词
开放椎板开窗
微创
腰椎间盘突出症
open discectomy
minimally invasive surgery
lumbardisc herniation
