摘要
目的对比青少年腰椎间盘突出症患者应用椎间孔镜术、椎板开窗术进行治疗的临床效果。方法选取我院2012年10月至2015年10月收治的青少年腰椎间盘突出症患者49例,随机分成研究组(采用椎间孔镜术,n=27)和参照组(采用椎板开窗术,n=22),比较两组患者术后住院时间、术后卧床时间、切口长度、出血量和手术时间等。结果研究组患者手术时间为(83.8±10.3)min,明显长于参照组的(58.6±9.3)min,另外住院时间(2.7±1.1)d、卧床时间(0.9±1.2)d、切口长度(0.6±0.1)cm和出血量(9.1±2.9)mL均明显低于参照组住院时间(13.7±3.7)d、卧床时间(6.5±2.3)d、切口长度(5.3±0.5)cm和出血量(50.6±8.4)mL,差异有统计学意义(P<0.05)。结论对青少年腰椎间盘突出症患者采取经椎间孔镜术治疗,切口更小,住院时间更短,在临床治疗中更具优越性。
Objective To compare the effect of transforaminal endoscopic discectomy and simple vertebral lamina fenes- tration on juvenile lumbar disc herniation. Methods Forty-nine cases of juvenile patients with lumbar disc herniation ad- mitted in our hospital from October 2012 to October 2015 were selected, and randomly divided into study group （ accepted transforaminal qndoscopic discectomy, n=27） and reference group （received vertebral lamina fenestration, n=22）, then the postoperative hospital stays, bed time, incision length, blood loss and operative time were compared between the two groups. Results In the study group, the operation time was （83.8±10.3） min, which was significantly longer than （58.6±9.3） rain in the reference group （P〈0.05）; the hospitalization time （2.7±1.1） d, bed time （0.9±1.2） d, incision length （0.6±0.1） cm and bleeding （9.1± 2.9） mL in the study group were significantly lower than （13.7±3.7） d, （6.5±2.3） d, （5.3±0.5） cm and （50.6±8.4） mL in the reference group, the data of two groups were significantly different （P〈0.05）. Conclusion For juvenile patients with lumbar disc herniation, transforaminal endoscopic discectomy treatment has smaller incisions, shorter hospital stays and more advantages in clinic.
作者
陈本华
刘家民
刘一民
何正位
CHEN Ben-hua LIU Jia-min LIU Yi-min HE Zheng-wei(the First Department of Orthopedics, Danfeng County People＇s Hospital, Shangluo 726200, Chin)
出处
《临床医学研究与实践》
2017年第11期85-86,共2页
Clinical Research and Practice
关键词
椎间孔镜术
椎板开窗术
腰椎间盘突出症
transforaminal endoscopic discectomy
vertebral lamina fenestration
lumbar disc herniation
