小切口开窗式髓核摘除术治疗腰椎间盘突出症临床分析

目的:通过评价小切口开窗式髓核摘除术治疗腰椎间盘突出症的临床疗效,探讨该手术的优缺点及注意事项。方法:对62例腰椎间盘突出症患者采用小切口开窗式髓核摘除术治疗,手术前后根据日本骨科学会(JOA)下腰痛评分标准评分,评价手术效果。结果:62例患者均获随访,时间0.5～2年,平均1.2年,JOA评分优良率91.9%,平均改善率69.4%,手术前后JOA评分比较差异有显著性(P<0.05)。结论:小切口开窗式髓核摘除术治疗腰椎间盘突出症疗效肯定,对腰椎生理结构破坏较小,发生术后腰椎不稳及腰椎术后失败的可能性低。

Objective：To evaluate clinical efficacy of small incision windowed discectomy for lumbar disc herniation and explore the clinical advantages and disadvantages of surgical and precautions. Methods： 62 patients with lumbar disc herniation were treated with a small incision windowed discectomy treatment, before and after surgery, according to the Japan Orthopedic Association （JOA） scoring criteria of low back pain score ,evaluation of results of operations was done. Results：62 patients were followed up for6 months to 2 years,an average of 1.2 years, JOA score was an excellent rate of 91.9% and with an average improvement rate of 69. 4%. The difference before and after surgery JOA score was significant （P 〈 0. 05 ）. Conclusion ： small incision windowed discectomy in the treatment of lumbar disc herniation was physiological well;less damage occurred after lumbar spine surgery; lumbar spine instability and the possibility of failure was low.