显微内窥镜治疗腰椎管狭窄的临床应用

The Clinical Application of Microendoscopic discectomy for treatment of spinal canal stenosis

目的:将显微内镜(MED)下双侧扩大开窗减压与全椎板切除治疗腰椎管狭窄进行比较。方法:把腰椎管狭窄病人随机分成2组,治疗组在显微内镜下行双侧扩大开窗减压50例,对照组42例采用全椎板切除减压。结果:2组疗效无明显差异,X2检验,p>0.05。结论:2组疗效无明显差异,MED具有创伤小、脊柱稳定性好等优势。

Objective：To compare the therapeutic effect between decompression by bilateral enlarging fenestration and total laminectomy under MED.Methods：Patiens with lumbar spinal canal stenosis were divided into two groups,50 cases in group under therapy were treated with decompression by bilateral enlarging fenestration,42 cases in the control group were treated with total laminectomy.Results：There was no significant difference in therapeutic effect between the two group（p0.05 in X2 test）.Conclusion：The therapeutic effect is accordant in the two groups,MED has many advantages,such as minimal wound and better spinal stability.