| 摘要: |
| ［摘要］ 目的 比较经皮椎间孔镜与椎板开窗手术治疗复发性腰椎间盘突出症的临床效果。方法 选取在该院就诊的复发性腰椎间盘突出症患者82例，按手术方式不同分为两组，各41例。对照组实施椎板开窗髓核摘除术，观察组实施经皮椎间孔镜治疗，比较两组临床疗效。结果 观察组手术时间、术后卧床时间、住院时间较对照组明显缩短，术中出血量减少，差异有统计学意义（P<0.01）；两组患者手术前后视觉模拟评分（VAS）及功能障碍指数（ODI）评分比较，差异无统计学意义（P>0.05）。结论 经皮椎间孔镜与椎板开窗手术治疗复发性腰椎间盘突出症效果相似，但经皮椎间孔镜治疗可缩短手术时间、术后卧床时间及住院时间，减少术中出血量。 |
| 关键词: 经皮椎间孔镜 椎板开窗手术 复发性腰椎间盘突出症 |
| DOI：10.3969/j.issn.1674-3806.2017.07.13 |
| 分类号:R 68 |
| 基金项目: |
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| Clinical observation on the treatment of recurrent lumbar disc herniation by percutaneous lumbar intervertebral disc and vertebral lamina |
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ZHANG Tian-ji, ZHOU Jie, WU Jun-tao, et al.
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Department of Orthopedics, the Third Affiliated Hospital of Xinxiang Medical College, Henan 453000, China
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| Abstract: |
| ［Abstract］ Objective To compare the clinical effect of percutaneous lumbar disc surgery on the treatment of recurrent lumbar disc herniation.Methods 82 patients with recurrent lumbar disc herniation who were treated in our hospital were divided into two groups according to the different operation methods, with 41 cases in each group. The control group was treated with lumbar disc nucleus pulposus, and the observation group was treated with percutaneous lumbar intervertebral foramen. The clinical effect was compared between the two groups.Results The operation time, postoperative bed time and hospitalization time in the observation group were significantly shorter than those in the control group. The intraoperative bleeding volume of the observation group was significantly less than that of the control group(P<0.01). There were no significant differences in the visual analogue scale(VAS) and Oswestry disability index(ODI) between the two groups before and after the treatment(P>0.05).Conclusion Percutaneous transforaminal endoscopic fenestration and surgical treatment of recurrent lumbar disc herniation have a similar clinical effect on the treatment of recurrent lumbal disc herniation, however percutaneous transforaminal endoscopic treatment can shorten the operation time, bed time and hospitalization time and reduce the amount of bleeding. |
| Key words: Percutaneous discectomy Laminectomy fenestration Recurrent lumbar disc herniation |
