纤维内窥镜与传统Love′s术治疗腰椎间盘突出的疗效比较

A comparion on the clinical results of microendoscopic discectomy and conventional(Love′s)discectomy

目的:比较显微内窥镜下椎间盘切除(MED)与传统开放式腰椎间盘摘除术的近期及远期临床疗效。方法:采用临床同期、随机化、病例对照研究的方法,应用后路纤维内窥镜治疗单纯性腰椎间盘突出50例(治疗组),应用传统手术方式治疗单纯性腰椎间盘突出47例(对照组),分析比较2种手术方式的近期和远期临床疗效及优缺点。结果:2种方法近期和远期临床疗效相近,但MED术创伤小,术后恢复快,出血少,费用相对低廉。结论:在严格掌握适应证、熟练掌握手术技术的情况下,MED术效果良好,值得在临床上推广。

Objective： To analysis the short-term and long-term clinical results of microendoscopic discectomy （MED） versus conventional （Love＇s） diseectomy in treatment of lumber disc herniation （LDH）. Methods： Fifty patients with LDH were treated with microendoscopic discectomy （MED）. Other 47 patients with LDH were treated with conventional （Love＇s） discectomy as a control group. Results： The short-term and long-term clinical result is nearly the same with the two methods. But MED microendoscopy discectomy via lamina shows less trauma and faster recovery. MED can reduce the blood loss in operation, the time staying in hospital and the time staying out of bed after operation, and spare the cost, shorten the time to go back working. Conclusion： MED is safe and effective in the treatment of only one lumber disc heniation.