摘要
目的:观察后路椎间盘镜(MED)手术治疗老年腰椎管狭窄症(LSS)的临床疗效。方法:72例老年LSS患者随机分为两组,对照组(n=36例)采用常规手术方法治疗,观察组(n=36例)采用MED手术治疗。观察和比较两组手术时间、失血量、镇痛药使用、住院治疗时间、术后并发症及临床疗效。结果:所有患者均随访1年,观察组优良率(88.9%)明显高于对照组(72.2%,P<0.05);两组手术治疗时间比较无显著差异性(P>0.05),而观察组失血量、镇痛药使用例数、住院治疗时间及术后并发症例数均明显少于对照组(P<0.05)。结论:MED手术治疗老年LSS疗效显著,可明显减少术中出血量、镇痛药使用率及术后并发症,并缩短住院时间。
Objective：To observe the clinical curative effects of microendoscopic disetomy system（MED） on the treatment of elderly lumbarspina lstenosis（LSS）.Methods：72 cases of elderly patients with LSS were randomly divided into 2 groups,the control group（n=36 cases） was treated with conventional surgical method,the observation group（n=36） was treated with MED surgery.The operation time,blood loss,analgesic use,hospitalization time,complications and clinical curative effects of the two groups were observed and compared.Results：All patients were followed up for 1 year,the fine rate of the observation group（88.9%） was obviously higher than that of the control group（72.2%,P〈0.05）.There was no significant difference between the two groups about operation time（P〉0.05）,while the observation group blood loss,analgesic use cases,hospitalization time and postoperative complications of the observation group were significantly less than that of the control group（P〈0.05）.Conclusion：The treatment of MED surgery for elderly LSS had a significantly curative effects,could significantly reduce the intraoperative blood loss,analgesic usage and postoperative complications,and shorten hospital stay.
出处
《中国医药导刊》
2014年第6期949-950,共2页
Chinese Journal of Medicinal Guide
关键词
后路椎间盘镜
腰椎管狭窄症
微创
Microendoscopic disetomy system
Lumbarspina lstenosis
Minimally invasive
