经多裂肌间隙入路治疗腰椎间盘突出症的临床疗效分析

Clinical effect analysis of lumbar disc herniation through multifidus muscle gap approach

目的观察经多裂肌间隙入路治疗腰椎间盘突出症的临床效果。方法选取我院在2013年2—9月收治的腰椎间盘突出症患者124例,按照治疗方法的不同分为实验组和对照组各62例,实验组患者采用经多裂肌间隙入路手术方法治疗,对照组患者采用传统腰椎后路正中切口入路治疗,观察两组患者在手术前、手术后的疼痛评分和手术相关情况。结果在手术前两组患者的手术评分相似,手术后实验组患者的疼痛情况明显改善,并且好于对照组患者(P<0.05),从手术相关情况上看,实验组患者也要好于对照组患者(P<0.05)。结论采用经多裂肌间隙入路治疗腰椎间盘突出具有非常好的效果,手术的创伤小、出血量少,并且术后恢复的快,治疗安全,可以在临床的治疗中推广和应用。

Objective To observe the multifidus muscle gap approach clinical effect of lumbar disc herniation .Methods Our hospital patients with lumbar disc herniation in February 2013 to September were treated 124 cases, according to the method of treatment were divided into experimental group and the control group of 62 patients in the experimental group were treated with surgical treatment approach by multifidus muscle gap the control group were treated with traditional median incision posterior lumbar therapy , were observed in the pre-operative, post-operative pain scores and surgery-related cases.Results Two groups of patients before surgery surgical score similar situation post-operative pain in patients in the experimental group was significantly improved, and better than the control group of patients （P〈0.05）, from the surgical point of view of the relevant circumstances, the experimental group were also better than the control group of patients （ P 〈0.05 ）. Conclusions Adopted by the multifidus muscle gap approach for the treatment of lumbar disc herniation with very good results , and the trauma of surgery is small , less bleeding surgery and quick recovery after surgery , treatment safety , can be generalized and applied in the clinical treatment .