内窥镜辅助腰椎微创手术通道的解剖学研究

发布时间：2018-06-03 18:13

  本文选题：内窥镜 + 腰椎　； 参考：《哈尔滨医药》2016年06期

【摘要】：目的探究内窥镜辅助腰椎微创手术通道的解剖学情况。方法选取2015年1月至2016年1月在我院接受治疗的腰椎滑脱症患者60例作为研究对象,根据治疗方式的不同将患者分为传统开放组(30例)和微创组(30例),对比两组患者手术时间、术中出血量等手术指标的差异。并采用视觉模拟法对患者疼痛以及Oswestry功能障碍指数进行评分,对比两组患者的差异。结果结果观察组患者术中出血量、住院时间均显著少于对照组,差异有统计学意义(P0.05)。两组手术时间的对比无统计学差异(P0.05)。治疗前后两组患者VAS评分、ODI评分均无统计学差异(P0.05)。结论采用内窥镜辅助腰椎胃肠手术通道对患者进行手术安全有效,与传统开放组相比,患者出血量更少且能够减少组织损伤的程度,值得推广应用。
[Abstract]:Objective to investigate the anatomy of endoscope assisted lumbar minimally invasive surgery. Methods 60 patients with lumbar spondylolisthesis who were treated in our hospital from January 2015 to January 2016 were divided into traditional open group (30 cases) and minimally invasive group (30 cases). The difference of operative indexes such as blood loss during operation. Visual analogue method was used to evaluate the pain and Oswestry dysfunction index, and the difference between the two groups was compared. Results the amount of intraoperative bleeding and the length of hospitalization in the observation group were significantly less than those in the control group, and the difference was statistically significant (P 0.05). There was no significant difference in operation time between the two groups (P 0.05). There was no significant difference in VAS score and ODI score between the two groups before and after treatment (P 0.05). Conclusion Endoscopic assisted lumbar gastrointestinal surgery is safe and effective. Compared with the traditional open group, the bleeding volume of the patients is less and the degree of tissue injury can be reduced. It is worth popularizing and applying.
【作者单位】： 大连医科大学附属第一医院脊柱外科;
【基金】：(2013001013)" target="_blank">辽宁省科学事业公益研究基金<内窥镜下腰椎微创手术通道的解剖学研究及临床应用>(2013001013)
【分类号】：R687.3;R322.7
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本文编号：1973722