显微手术与小切口手术治疗腰椎间盘突出症的临床对照研究

Comparative study on lumbar microdiscectomy and small-incision discectomy for the treatment of lumbar disc herniation

[目的]探讨显微手术与小切口手术治疗腰椎间盘突出症的疗效及相关问题。[方法]显微手术治疗腰椎间盘突出症患者82例,同70例小切口髓核摘除术的疗效进行对比分析。[结果]显微腰椎间盘切除术与小切口手术相比,手术时间明显延长,出血量、优良率、总有效率无明显差异,术后引流量、创伤、并发症明显减少。[结论]显微手术与小切口手术治疗腰椎间盘突出症疗效相当,显微手术在减少创伤和并发症方面具有优势,两种微创技术均应以严格的适应证选择、充分的术前准备和熟练的操作技术为根本。

[ Objective] To study the efficacy and related problems of lumbar microdiscectomy and small-incision discectomy in the treatment of lumbar disc herniation. [ Method ] A total of 82 cases were treated with lumbar microdiscectomy, 70 cases were treated with small-incision discectomy. The results of two groups were compared. [ Result ] Compared with the small incision group, the operative time and the complication rates were significently reduced. The effective rate between the two groups had no significent difference. [ Conclusion ] Small-insion discectomy is as an effective operation as microdiscectomy, while lumbar microdiscectomy had the advantages of minimal invasive, more indications, less bleeding. Strict selection of indications, sufficient preoperative preparations and practiced surgical techniques are the key points of the two minimally invasive techniques to award good outcomes.