重庆医学Issue(11)：1496-1498,3.DOI:10.3969/j.issn.1671-8348.2015.11.018
后路椎间盘镜与显微镜下手术治疗腰椎间盘突出症中期疗效分析
Comparison of mid-term effects between microendoscopic discectomy and microsurgical lumbar discectomy for operatively treating lumbar disc herniation
杨明轩 1王栓科 1刘昊楠 2陈秀锦 1汪静 3胡旭昌 1丁明聪1
作者信息
- 1. 兰州大学第二医院骨科，甘肃兰州730000
- 2. 北京积水潭医院骨科，北京100035
- 3. 甘肃省骨关节疾病研究重点实验室，甘肃兰州730000
- 折叠
摘要
Abstract
Objective To evaluate the mid‐term efficacy of microendoscopic discectomy (MED) and microsurgical lumbar discectomy (MSLD) for treating lumbar disc herniation (LDH) .Methods 98 patients with single segment LDH in the Orthopedic department of the Second Hospital of Lanzhou University from March 2009 to April 2010 were divided into 2 groups ,including 44 cases undergoing MED and 54 cases undergoing MSLD .The operative efficacies were assessed by the visual analogue scale (VAS) , Japanese Orthopedic Association (JOA) scores and Oswestry Disability Index (ODI) .Results There were statistically significant differences in the skin incision length ,amount of intraoperative blood loss and time of returning to work between the two groups (P<0 .01) ,while the operation time ,average hospital stay time and incidence of complications showed no statistically significant differences (P>0 .05) .The mean follow‐up duration was 49 .13 months in the MED group and 47 .24 months in the MSLD group respectively .At the last follow‐up the postoperative back and leg pain VAS scores ,JOA scores and ODI in each group were signifi‐cantly improved compared with the preoperative data (P<0 .01) .However ,there were no statistically significant differences in the intergroup comparison .Conclusion MED and MSLD are the effective methods for treating single segment LDH .However ,MED has less trauma and early out‐of‐bed ambulation ,is an ideal minimally invasive surgery .关键词
外科手术 ,微创性/内窥镜/显微镜检查/椎间盘移位/椎间盘切除术Key words
surgical procedures ,minimally invasive/endoscopes/microscopy/intervertebral disk displacement/diskectomy分类
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杨明轩,王栓科,刘昊楠,陈秀锦,汪静,胡旭昌,丁明聪..后路椎间盘镜与显微镜下手术治疗腰椎间盘突出症中期疗效分析[J].重庆医学,2015,(11):1496-1498,3.
