复发性腰椎间盘突出症再手术的术式选择及疗效分析

Operative Method Selection and Curative Effect Analysis of Reoperation for Recurrent Lumbar Disc Herniation

目的分析对复发性腰椎间盘突出患者采用不同手术方式进行再手术治疗的临床疗效。方法随机选取64例该院2013年6月—2015年1月期间收治的复发性腰椎间盘突出患者,随机分为各32例患者的两组,对照组采用PLIF法;试验组采用改良PLIF法;对比两组相关指标。结果治疗后,两组患者较治疗前相关指标均改善;治疗后,试验组手术时间、术中出血量优于对照组,P<0.05,两组JOA评分、椎间高度变化差异无统计学意义,P>0.05。结论两组疗效并无太大差异,但试验组在手术时间以及手术过程中的出血量方面优于对照组。综合来看,改良PLIF法更适合在临床推广应用。

Objective To analyze the clinical curative effect of adopting different operative methods for reoperation for patients with recurrent lumbar disc herniation. Methods 64 cases of patients with recurrent lumbar disc herniation treated in our hospital from June 2013 to January 2015 were randomly selected and randomly divided into two groups with 32 cases in each, the control group were treated with PLIF method, the test group were treated with modified PLIF method, the related indicators of the two groups were compared. Results The related indicators of the two groups after treatment were improved compared with those before treatment, after treatment, the operation time and intraoperative blood loss in the test group were better than those in the control group P 0.05, the differences in the JOA score and intervertebral height change between the two groups were not obvious,P 0.05. Conclusion The difference in the curative effect between the two groups was not obvious, the operation time and intraoperative blood loss in the test group were better than those in the control group. Overall, the modified PLIF method is more suitable for clinical promotion and application.