经皮椎间孔镜技术治疗腰椎间盘突出症的临床研究

发布时间：2018-01-01 09:37

  本文关键词：经皮椎间孔镜技术治疗腰椎间盘突出症的临床研究　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

  更多相关文章： 腰椎间盘突出症 椎间孔镜技术 传统开放手术

【摘要】：目的:分析经皮椎间孔镜技术与传统手术治疗腰椎间盘突出症的临床疗效。为椎间孔镜技术治疗腰椎间盘突出症提供理论依据。方法:采取回顾性研究方法调查了山东省中医院从2014年12月至2015年6月收治的腰椎间盘突出症患者40例,男25例,女15例,年龄17-63岁,平均年龄37.2岁。分为观察组(20例)及对照组(20例)。观察组给予微创椎间孔镜下髓核摘除术治疗。对照组给予传统手术(椎板间扩大开窗髓核摘除术)治疗,分别记录两组各个病例的术中出血量、刀口长度、手术时间、卧床时间、治疗前、治疗后1月、6月的VAS评分、JOA评分、ODI指数,所有数据用均数±标准差(?X±S)表示。比较两组患者的临床预后情况。组内采用均数(?X±S)配对t检验,组间采用均数(?X±S)独立样本t检验;P0.05为差异无统计学意义,P0.05为差异有统计学意义,P0.01为差异有显著统计学意义。结果:(1)组内比较:传统手术治疗组与椎间孔镜治疗组术前、术后VAS评分、ODI指数、JOA评分有显著性统计学差异(p0.01表1-12)。(2)组间比较:传统手术治疗组与椎间孔镜治疗组术前、术后VAS评分、ODI指数、JOA评分无统计学差异(p0.05表13-18);传统手术治疗组与椎间孔镜治疗组术中出血量、手术时间、切口长度、卧床时间有统计学差异(p0.05表19-20)。结论:(1)传统开放手术与椎间孔镜技术治疗腰椎间盘突出症均具有良好的临床疗效;(2)椎间孔镜技术具有操作简单、创伤小、患者痛苦少、恢复快、并发症少、对以后生活质量影响较小等诸多优点;(3)椎间孔镜技术的远期疗效需进一步观察。
[Abstract]:Objective: to analyze the clinical effect of percutaneous transforaminal endoscopic technique and traditional surgical treatment of lumbar disc herniation. Provide a theoretical basis for the transforaminal endoscopic treatment of lumbar disc herniation. Methods: the Shandong Provincial Traditional Chinese Medical Hospital from December 2014 to June 2015 were lumbar disc herniation 40 cases investigated retrospective study method, 25 male cases, female 15 cases, age 17-63 years old, the average age of 37.2 years. Divided into observation group (20 cases) and control group (20 cases). The observation group was given minimally invasive transforaminal endoscopic discectomy treatment. The control group was given conventional surgery (interspinous enlarged fenestration) treatment, the amount of bleeding in all cases, the two groups were recorded during the operation time, incision length, bed time, before treatment, after treatment in January June, the VAS score, JOA score, ODI index, standard deviation for all data (? X + S) shown. Clinical outcomes were compared between the two groups 鎯呭喌.缁勫唴閲囩敤鍧囨暟(?X卤S)閰嶅�箃妫，

本文编号：1363991