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我国微创手术治疗腰椎间盘突出症疗效系统性评价

张俊 魏涧 马均阳 余化龙 黄晓华 刘亚东

湖北医药学院学报2017,Vol.36Issue(2):129-133,5.
湖北医药学院学报2017,Vol.36Issue(2):129-133,5.DOI:10.13819/j.issn.1006-9674.2017.02.008

我国微创手术治疗腰椎间盘突出症疗效系统性评价

A Systemic Evaluation on the Efficacy of Minimally Invasive Surgery in treating Lumbar Disc Herniation

张俊 1魏涧 1马均阳 1余化龙 1黄晓华 1刘亚东1

作者信息

  • 1. 湖北医药学院附属东风医院骨外科,湖北十堰442000
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摘要

Abstract

Objective To evaluate the efficacy of minimally invasive surgery in treating lumbar disc herniation.Methods Meta analysis was applied in the study.All papers reporting randomized controlled trial study for lumbar disc herniation treatment with minimally invasive surgery in the electronic databases CBM,CNKI,VIP,and Wanfang from January 2000 to December 2016 were collected.The postoperative excellent rate,the amount of hemorrhage,hospitalization time,incision length,and operation time were compared between the minimally invasive and conventional surgery groups.Results A total of 30 papers with 4654 patients were included in this study.The postoperative excellent rate of the minimally invasive surgery group (91.8%) was higher than that of control group (88.8%).The related OR (95% CI) was 1.58 (1.27,1.97),and the difference was statistically significant (Z =4.14,P=0.000).The amount of hemorrhage,hospitalization time,incision length,and operation time of the minimally invasive group were significantly lower than that of the control group.Conclusion The minimally invasive surgery was more effective than the traditional operation in treating lumbar disc herniation.

关键词

腰椎间盘突出症/微创手术/meta分析

Key words

Lumbar Disc Herniation/Minimally Invasive Surgery/Meta Analysis

引用本文复制引用

张俊,魏涧,马均阳,余化龙,黄晓华,刘亚东..我国微创手术治疗腰椎间盘突出症疗效系统性评价[J].湖北医药学院学报,2017,36(2):129-133,5.

湖北医药学院学报

2096-708X

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