腰椎间盘突出症髓核摘除术中纤维环切口关闭与开放对后期疗效的影响

Discectomy to the late efficacy for lumbar disc herniation in the annulus fibrosus incision closed or open

目的 探讨腰椎间盘突出症髓核摘除术中纤维环切口开放与关闭对后期疗效的影响.方法 回顾性分析我院2002年9月~2011年6月符合纳入标准的腰椎间盘髓核摘除术患者57例,将纤维环切口关闭22例为A组,纤维环未予关闭35例为B组,2组进行对比分析,运用JOA评分系统（29分法）进行评价,对比2组患者术后随访期JOA评分,术后复发率及再手术率、下腰痛残留率等.结果 2组患者术前JOA评分无明显差异,而在术后随访期JOA评分,术后复发率、再手术率、下腰痛残留率均有明显差异（P〈0.05）.结论 腰椎间盘突出症髓核摘除术中纤维环切口缝合关闭对减少椎间盘髓核残留组织再突出及术后粘连,从而对减少术后复发和再手术率具有明显作用.

] Objective To investigate the annulus fibrosus incision opening or closing late efficacy discectomy for lumbar disc herniation. Methods A retrospective analysis of selected cases of lumbar discectomy in our hospital from September 2002 to June 2011, 57 cases were included in the standard, the fiber ring incision was closed in 22 cases as group A, fiber ring was not closed 35 cases as group B, the two groups were analyzed using the JOA score （ Act 29 points ） to evaluate , JOA score of postop- erative followed-up period, the rate of recurrence and reoperation rate, lumbago residual rate were compared. Results JOA sco- ring postoperative relapse rate, the reoperation rate, rate of residual low back pain were significantly different （P 〈 0.05 ）. Con- clusion Lumbar disc herniation discectomy in fiber ring incision closure to reduce the nucleus pulposus of intervertebral disc her- niation and residual tissue adhesion after the operation, so as to reduce the postoperative recurrence and operation rate had obvious effect.