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后路椎间盘镜手术与开放椎板开窗手术治疗腰椎间盘突出症的疗效对比

郑军 辛宗山 操儒道 毛丰 马维初 顾晓春

昆明医科大学学报2016,Vol.37Issue(10):47-50,4.
昆明医科大学学报2016,Vol.37Issue(10):47-50,4.

后路椎间盘镜手术与开放椎板开窗手术治疗腰椎间盘突出症的疗效对比

Comparison of Clinical Efficacy between Microendoscopic Discectomy and Open Discectomy in the Treatment of Patients with Lumber Intervertebral Disc Herniation

郑军 1辛宗山 1操儒道 1毛丰 1马维初 1顾晓春2

作者信息

  • 1. 钟祥市人民医院骨一科,湖北钟祥431900
  • 2. 浙江中医药大学第二附属医院骨科,浙江杭州310053
  • 折叠

摘要

Abstract

Objective To compare clinical efficacy between microendoscopic discectomy (MED) and open discectomy (OD) in the treatment of patients with lumber intervertebral disc herniation (LIDH).Methods 116 cases of LIDH who were given surgical treatment were selected as research subjects to retrospectively analyze their clinical data.Then,these cases were divided into MED group (n=54) and OD group (n=62) according to operation type.The curative efficacy,operation situation and incidence of complications were compared.Results All patients' operations were successful.After the one-year follow-up,the MED group had an excellent and good rate of 96.3%,which was statistically same with that of 93.5% in the OD group (P >0.05) In comparison with the OD group,MED group had a statistically shorter operation time,less bleeding volume in the operation,shorter length of incision and shorter rest time on bed after operation (all P<0.05).After operation,there's no case of severe complication,and the incidence of complications between the two groups was statistically same (P>0.05) Conclusions MED and OD are both effective operations for LIDH,which have high excellent and good rate.But in comparison with OD,MED has advantages of less damage and faster recovery.

关键词

后路椎间盘镜手术/开放椎板开窗手术/腰椎间盘突出症

Key words

Microendoscopic discectomy/Open discectomy/Lumber intervertebral disc herniation

分类

医药卫生

引用本文复制引用

郑军,辛宗山,操儒道,毛丰,马维初,顾晓春..后路椎间盘镜手术与开放椎板开窗手术治疗腰椎间盘突出症的疗效对比[J].昆明医科大学学报,2016,37(10):47-50,4.

基金项目

浙江省自然科学基金资助项目(Y2110746) (Y2110746)

昆明医科大学学报

OACSTPCD

1003-4706

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