椎间盘镜与小切口椎板开窗髓核摘除术治疗腰椎间盘突出症的比较研究

Comparison of operative result of MED with limited-incision method for lumbar disc herniation

目的:比较椎间盘镜(microendoscopicdiscectomy,MED)与小切口椎板开窗髓核摘除术治疗腰椎间盘突出症的近期疗效以及各自的优缺点。方法:采用MED和小切口椎板开窗髓核摘除术治疗腰椎间盘突出症各24例,将二者的手术疗效进行统计学分析。结果:MED组在手术出血量、卧床时间、手术切口大小情况方面均少于小切口手术组,而在手术时间、临床表现方面,两组无显著性差异。按照JOA评定标准,MED组:治愈22例,有效2例治愈率为91.7%;小切口手术组:治愈21例,有效3例,治愈率为87.5%,二组治愈率差异无显著性。结论:MED与小切口椎板开窗髓核摘除术治疗腰椎间盘突出症的疗效相当,各有优缺点,二者可根据临床情况选用。

Objective：To compare the advantages and disadvantages of the lumbar intervertebral disc herniation and recent curative effect disc mirror（microendoscopicdiscectomy,MED） with limited-incision.Method： 24 cases of lumbar disc herniation were operated upon withMED,24 cases of lumbar disc herniation were operated upon with limited-incision method.The operative result of two groups were compared with line statistical analysis.Results：The bleeding in the operation of MED,bed time,average day in hospital were less than limited-incision group,and operation time,clinical signs and symptoms change were no significant differences between the two groups.According to JOA evaluation standard,MED group was evaluated cure 22 cases ＂good＂ in 2 cases.Limited-incision scores was evaluated cure 21 cases ＂good＂ in 3.Two groups were no significant differences.Conclusion： MED and limited-incision of lumbar intervertebral disc herniation treatment group,has its advantages and disadvantages,and both can be chosen according to particular case.