微创治疗腰椎间盘突出症的疗效分析

Effects of minimally invasive surgery in the treatment of lumbar disc herniation

目的比较微创手术与传统手术治疗腰椎间盘突出症的短期及中长期疗效。方法收集我院收治的116例腰椎间盘突出症病例资料,其中49例采用传统手术治疗,67例采用微创手术治疗,比较分析2组患者的治疗效果。结果微创手术组的术后短期及中长期VAS的评分都较术前有显著下降,且下降幅度明显大于同期的传统手术组。微创手术组的短期及中长期疗效优良率分别为92.5%和85.1%,传统手术组的短期及中长期疗效优良率分别为77.6%和63.3%,2组间疗效的优良率有统计学差异(P<0.05)。结论微创手术治疗腰椎间盘突出症的疗效明显优于传统手术,值得在临床推广。

Objective To compare the short-term,medium and long-term curative effects between minimally invasive surgery and tradi- tional surgery in the treatment of lumbar disc herniation. Methods 116 patients with lumbar disc herniation were enrolled in the study ,49 patients received the traditional surgical treatment and 67 patients received the minimally invasive surgical treatment. The curative effects of both groups were compared and analyzed. Results The short-term, medium and long-term of VAS score in minimally invasive surgery group was lower than that in traditional surgical group. The excellent and good rates of short-term, medium and long-term curative effects in minimal- ly invasive surgery group were 92.5% and 85.1% respectively ,and those in traditional surgical group were 77.6% and 63.3% respectively. The difference of excellent and good rates between the two group patients was statistically significant （ P 〈 0.05 ）. Conclusion Tile curative effects of minimally invasive surgical in the treatment of lumbar disc herniation are superior than those of the traditional surgical treatment, thereby worthy of clinical promotion.