显微镜下微创术与传统髓核摘除术治疗腰椎间盘突出症的疗效比较

Clinical comparative study on effect about treating lumbar intervertebral disc herniation by minimally invasive operation in microscope with traditional discectomy operation

目的比较显微镜下微创与传统髓核摘除术治疗腰椎间盘突出症的临床疗效。方法 86例腰椎间盘突出症患者随机分为两组:显微镜组(43例)采用显微镜下手术治疗,传统组(43例)采用单纯髓核摘除术。比较两组的手术切口、手术时间、术中出血量、术中引流量、下地时间、术后住院时间、并发症发生情况。术后12个月进行JOA评分、VAS评分及ODI评价。结果显微镜组切口长度、术中出血量、术中引流量、下地时间、术后住院时间及术后12个月的JOA、VAS评分及ODI均明显优于传统组(P<0.01);手术时间和并发症两组比较差异无统计学意义(P>0.05)。结论显微镜下手术治疗腰椎间盘突出症创伤小,出血少,术后恢复快,临床疗效好。

Objective To compare clinical effect on treating lumbar intervertebral disc herniation by minimally invasire operation in microscope with traditional discectomy operation. Methods 86 cases of patients with lumbar disc herniation were selected and randomly divided into microscope group included 43 cases who were treated by microscopic operation method, and traditional group included 43 cases who were treated by a simple discectomy operation. The operation incision, operation time, amount of bleeding, drainage, standing up time, postoperative hospital stay, complications,JOA score, VAS score and ODI in postoperative 12 months of two groups were comparatively analysed. Results The incision length, amount of bleeding, drainage, standing up time, postoperative hospital stay, JOA score, VAS score and ODI in postoperative 12 months of microscope group were were significantly better than those of traditional group, the differences were statistically significant （P 〈 0. 01 ）;the diffences of the operation time and complications between two groups was not statistically significant （ P 〉 0. 05 ）. Conclusions Treating lumbar intervertebral disc herniation by minimally invasive operation in microscope has advantages of less trauma, less bleeding and better recovery, and its clinical effect is good.