資源描述：
《后路椎間盤鏡髓核摘除術(shù)治療腰椎間盤突出癥的遠(yuǎn)期療效分析.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。
1、第30卷第3期川北醫(yī)學(xué)院學(xué)報(bào)(http：／／noth．cbpt．cnki．net)Vo1．30．No．33562015年6月JOURNALOFNORTHSICHUANMEDICALCOLLEGEJun．2015doi：10．3969／j．issn．1005—3697．2015．03．20◆◆．論著厶后路椎間盤鏡髓核摘除術(shù)lI=11l腰椎間盤突出癥的遠(yuǎn)期療效分析羅磊，柏光澤，羅江洪(成都市第六人民醫(yī)院骨科，四川成都610051)【摘要】目的：分析后路椎間盤鏡髓核摘除術(shù)(microendoseopicdeseetomy，MED)治療腰椎間盤突出癥的遠(yuǎn)期療效。方法：選取2009
2、年1月至2012年1月間在我院接受MED腰椎間盤突出癥的35名患者為對(duì)象，并以同期接受開(kāi)放式手術(shù)的43名患者為對(duì)照，比較兩組手術(shù)時(shí)間、術(shù)中出血量、術(shù)后住院時(shí)間、VAS和ODI評(píng)分及復(fù)發(fā)率等指標(biāo)的差異。結(jié)果：平均隨訪23．5(13～50)個(gè)月，MED組平均手術(shù)時(shí)間為(89．6±23．6)min，比OD組長(zhǎng)；平均住院時(shí)間為7(5～27)d，比OD短，術(shù)中出血量為60(20—250)mL，與OD組無(wú)差異。兩組VAS和ODI評(píng)分均隨時(shí)間延長(zhǎng)而明顯降低，但兩組間無(wú)明顯差異。兩組復(fù)發(fā)率分別為7．1％和8．7％，也無(wú)明顯差異。結(jié)論：MED與OD手術(shù)整體療效無(wú)明顯差異，但MED明顯縮短住
3、院時(shí)間?！娟P(guān)鍵詞】椎間盤鏡髓核摘除術(shù)；VAS評(píng)分；ODI評(píng)分；復(fù)發(fā)率【文章編號(hào)】1005-3697(2015)03-0356-03【中圖分類號(hào)】R816．8【文獻(xiàn)標(biāo)志碼】ATheevaluationonlong-termefectofposteriormicroendoscopicdescetomyforpatientswithlumbardischerniationLUOLei，BAIGuang-ze，LUOJiang-hong(DepartmentofOrthopedics，the6thPeople’sHospitalofChengdu，Chengdu610051，S
4、ichuan，China)【Abstract】0bjective：Toevaluatethelong-termeffectofmicroendoscopiedescetomy(MED)forpatientswithlumbardischerniation(LDH)．Methods：Thirty-fivepatientswhowerehospitalizedforLDHandacceptedMEDduringJan．2009toJan．2012inourhospitalwereselectedasstudysubjects．Forty—threepatientswhoacc
5、eptedODduringthesameperiodwereselectedascontro1．Compar—isonsofsurgicaltime，bloodloss，timeofhospitalstay，VASandODIscore，aswellasrecurrenceratewereperformedbetweentwogroups．Results：Themeanfollowing—uptimewas23．5months(13—50)．InMEDgroup，themeansurgicaltimewas(89．6．4-23．6)minutes，longerthanth
6、atinODgroup．Themeandurationofhospitalstaywas7(5—27)days，shorterthanthatincontrolgroup．Bloodlossduringoperationwas60(20—250)mL，comparativetothatinODgroup．VASandODIscoresweredecreasedwithtimeandnosig—nificantdifferencewasfoundbetweengroups．Therecurrenceratewas7．1％inMEDgroupand8．7％inODgroup．
7、Conclusion：Theo—veralleffectswerecomparativebetweenMEDandOD，butMEDcanobviouslyshortenthelengthofhospitalstay．【Keywords】Microendoscopicdescetomy；VASscore；ODIscore；Recurrencerate腰椎間盤突出癥是臨床常見(jiàn)病和多發(fā)病，也是鏡椎間盤切除系統(tǒng)進(jìn)行髓核摘除(micr0endoscopic腰腿痛及活動(dòng)障礙的常見(jiàn)原因。雖大多數(shù)患者可通descetomy，MED)的治療方
