两种不同手术方法治疗多节段腰椎间盘的疗效对比分析

Analysis of curative effect of two different surgical methods in the treatment of multiple segmental lumbar

目的探讨不同手术方法治疗多节段腰椎间盘的临床效果。方法将100例多节段腰椎间盘突出患者,随机分组为对照组(50例)及实验组(50例),对照组行小切口开窗式髓核摘除治疗,实验组行腰椎后路内固定加腰椎融合术治疗。对比两组临床效果。结果实验组治疗总有效率94.0%,优于对照组的80.0%,差异显著(P<0.05);实验组手术时间为(111.20±3.6)min,低于对照组的(123.54±3.7)min,差异显著(P<0.05);实验组术中出血量为(41.42±5.78)ml,低于对照组的(95.46±5.78)ml,差异具有统计学意义(P<0.05)。结论腰椎后路内固定加腰椎融合术治疗多节段腰椎间盘有效率较高,值得临床应用推广。

Objective Explore the efficacy of different surgical methods in the treatment of multiple segmental lumbar disc. Methods 100 cases of patients with segmental lumbar disc herniation,were randomly grouped into control group（ 50 cases） and experiment group（ 50 cases）,and control group received the treatment nucleus pulposus remove through small incision open window,the experimental group received lumbar posterior internal fixation lumbar fusion. Clinical effects of the two groups were compared. Results Total effective rate of experiment group was 94. 0%,which was better than 80. 0% of control group,the difference was statistically significant（ P〈0. 05）. Operation time of experimental group was（ 111. 20 ± 3. 6）,which was lower than the control group（ 123. 54 ± 3. 7）,and the difference was statistically significant（ P〈0. 05）. Bleeding amount of experimental group was（ 41. 42 ± 5. 78）,it was lower than the control group（ 95. 46 ± 5. 78）,the difference was statistically significant（ P〈0. 05）. Conclusions Lumbar posterior internal fixation combined with lumbar fusion treatment of multiple segmental lumbar disc present better efficient,worthy of clinical promotion.