检验医学与临床2017，Vol.14Issue(21)：3206-3207,3210,3.DOI:10.3969/j.issn.1672-9455.2017.21.028
L5/S1椎间盘突出症患者的微创手术效果
Minimally invasive surgery of L5/S1 intervertebral disc protrusion
周建华 1张昊 1菅新民 1陈少初 1胡亚威 1张弦 1卢学有 1张惠煊1
作者信息
- 1. 广东省深圳市龙华区人民医院脊柱外科 518109
- 折叠
摘要
Abstract
Objective To explore the treatment of L5/S1 lumbar intervertebral disc herniation by laminectomy via laminectomy . Methods The data of 82 patients with L5/S1 lumbar disc herniation treated by laminectomy and intervertebral foramen in our hos-pital from March 2013 to October 2016 were retrospectively analyzed .Comparison of postoperative neurological damage ,dural sac tear ,discitis and other complications of the occurrence of the number and proportion .The VAS score and JOA score were compared between 1 week ,1 week after operation and 1 month after operation .The patients were followed up for 1 week ,1 week after opera-tion and 1 month after operation .The patients were recorded The results of the Macnab efficacy criteria were followed during the last follow-up .Results There were 4 cases (4 .88% ) of nerve injury after operation ,6 cases (7 .32% ) of dural sac ,and 2 cases (2 .44% ) of intervertebral discitis .The VAS score was (8 .41 ± 1 .72) points ,the JOA score was (13 .39 ± 4 .55) points ,the VAS score was (2 .21 ± 1 .35) points ,the JOA score was (23 .58 ± 3 .19) points ,the VAS score was (1 .49 ± 1 .14)points after one month of operation ,the JOA score was (24 .31 ± 3 .46) points ,1 week before surgery and 1 week after surgery and 1 month after the difference was statistically significant (P<0 .05) .The ODI index was (54 .37 ± 14 .18)% at 1 week before operation ,(23 .11 ± 4 .69)% at 1 week and (22 .69 ± 4 .16)% in 1 month .The efficacy of the modified Macnab standard was evaluated in the last follow-up of the patients .The results were excellent in 64 cases (78 .05% ) ,16 cases (19 .51% ) with good curative effect and 2 cases (2 .43% ) .Conclusion The treatment of L5/S1 lumbar disc herniation with lumbar intervertebral foramen surgery has the charac-teristics of less complication ,faster recovery and obvious curative effect ,and is worthy of popularization and application .关键词
经椎板间入路/内窥镜/L5/S1腰椎间盘突出症/手术效果Key words
intervertebral disc approach/endoscopy/L5/S1 Lumbar disc herniation/surgical effect引用本文复制引用
周建华,张昊,菅新民,陈少初,胡亚威,张弦,卢学有,张惠煊..L5/S1椎间盘突出症患者的微创手术效果[J].检验医学与临床,2017,14(21):3206-3207,3210,3.
