椎间孔镜与小切口手术治疗腰椎间盘突出症的临床效果比较

Clinical effect comparison of transforaminal endoscope and small incision surgery in treatment of lumbar intervertebral disc herniation

目的探讨椎间孔镜和小切口手术治疗腰椎间盘突出症的效果。方法 2013年1月~2014年2月,将96例腰椎间盘突出症患者随机分为观察组和对照组,各48例。观察组行椎间孔镜手术,对照组行小切口手术,观察两组患者的治疗效果。结果观察组治疗有效率明显高于对照组,手术时间、住院时间明显短于对照组,术中出血量明显少于对照组,手术切口大小明显小于对照组,VAS评分明显低于对照组（P〈0.05）。结论椎间孔镜手术治疗腰椎间盘突出症患者具有手术时间短、切口小、出血量少、疼痛轻等优点,值得临床推广。

Objective To discuss the effect of transforaminal endoscope and small incision surgery in treatment of lumbar intervertebral disc herniation. Methods From January 2013 to February 2014,96 patients with lumbar intervertebral disc herniation were randomly divided into observation group and control group,each group has 48 cases.Observation group was given transforaminal endoscopic surgery,while control group was given small incision surgery.The treatment effect of patients in both groups was observed respectively. Results The operation time and hospitalization time of observation group was significantly shorter than that in control group,the amount of bleeding during operation was significantly less than that in control group,the incision size was significantly smaller than that in control group,and the VAS score was significantly lower than that in control group（P〈0.05）. Conclusion Transforaminal endoscopic surgery has advantages of short operative time,small incision,little blood loss and slight pain in treatment of lumbar intervertebral disc herniation,which is worthy of clinical promotion.