椎间孔镜下髓核摘除术治疗老年腰椎间盘突出症的临床研究

发布时间：2018-05-16 08:50

本文选题：老年腰椎间盘突出症 + 椎间孔镜技术　；参考：《山东中医药大学》2017年硕士论文

【摘要】：目的:回顾性研究老年腰椎间盘突出症患者经椎间孔镜技术与传统手术治疗的临床疗效。为治疗老年腰椎间盘突出症提供理论依据。方法:统计山东省中医院从2015年04月至2016年09月收治的老年腰椎间盘突出症患者60例,年龄60岁以上。将患者随机分为试验组(30例)及对照组(30例)。试验组行经椎间孔镜微创治疗。对照组给予传统手术(全椎板切除减压内固定)治疗。记录术中出血量、刀口长度、手术时间、卧床时间,治疗前及治疗后3个月的VAS评分、ODI指数及术后并发症,所有数据用均数±标准差(?X±S)表示。组内采用配对t检验,组间采用独立样本t检验或方差分析;P0.05为差异无统计学意义,P0.05为差异有统计学意义。结果:(1)两组患者均取得了较为满意的临床;(2)组内比较:两种手术方式患者术前、术后VAS评分、ODI指数、术后并发症有统计学差异(p0.05);(3)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、术后并发症无统计学差异(p0.05);而两组术中出血量、手术时间、切口长度、卧床时间有统计学差异(p0.05)。结论:(1)两种手术方式治疗老年腰椎间盘突出症均具有良好的临床疗效;(2)相比于常规开放手术,椎间孔镜技术具有创伤小、出血较少、恢复快、术中术后并发症少等诸多优点;(3)椎间孔镜技术的远期疗效需进一步观察。
[Abstract]:Objective: to study the clinical effect of intervertebral foramen technique and traditional operation in elderly patients with lumbar disc herniation. To provide theoretical basis for the treatment of senile lumbar disc herniation. Methods: from April 2015 to September 2016, 60 elderly patients with lumbar disc herniation, aged over 60 years, were enrolled in Shandong traditional Chinese Medicine Hospital. Patients were randomly divided into trial group (n = 30) and control group (n = 30). The experimental group was treated with transforaminal minimally invasive treatment. The control group was treated with traditional operation (total laminectomy, decompression and internal fixation). Intraoperative bleeding volume, incision length, operation time, bed-rest time, VAS score before and 3 months after treatment and postoperative complications were recorded. All data were expressed as mean 卤standard deviation. Paired t test was used in the group, and there was no significant difference between the two groups using independent sample t test or ANOVA (P0.05). Results two groups of patients obtained satisfactory clinical comparison: before and after operation, the VAS scores of the two groups were compared with the ODI index. There was significant difference in postoperative complications between two groups: before operation and intervertebral foramina treatment group, there was no significant difference in postoperative VAS index between the two groups, but there was no significant difference in postoperative complications between the two groups (P 0.05), while the amount of intraoperative bleeding, operative time, and incision length were not significantly different between the two groups, and there was no significant difference in postoperative complications between the two groups (P < 0.05). There was significant difference in bed rest time (P 0.05). Conclusion compared with conventional open surgery, the intervertebral foramen technique has the advantages of less trauma, less bleeding and faster recovery than conventional open surgery in the treatment of lumbar intervertebral disc herniation in the elderly. The long-term effect of intervertebral foramen technique needs further observation.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.3

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