腰椎间盘突出症髓核摘除术后分析及评估

Analysis and Evaluation of Nucleus Pulposus Extraction after Prolapse of Lumbar Intervertebral Disc

目的探讨腰椎间盘突出症实施髓核摘除术后效果。方法以该院2013年8月—2016年11月就诊的腰椎间盘突出症患者144例为研究对象,遵循完全随机原则,均分为两组各72例。对照组采取开放手术,观察组实施小切口椎板开窗髓核摘除术。观察两组手术情况、治疗前后疼痛程度以及不良事件发生情况。结果观察组操作时间、失血量分别为(53.27±4.81)min、(66.94±5.35)m L,较对照组而言均明显更低(P<0.05);治疗后,两组疼痛情况均有所好转,观察组疼痛评分为(1.03±0.24)分,较对照组而言明显更低(P<0.05);在不良反应方面,两组数据不具高度对比性(P>0.05)。结论在腰椎间盘突出症患者中,予以髓核摘除可有效控制病情,小切口椎板开窗术相比其他术式优势更大。

Objective This paper tries to investigate the effect of nucleus pulposus extraction on lumbar disc herniation.Methods 144 cases of lumbar disc herniation treated in this hospital from August 2013 to November, 2016 were randomly divided into two groups with 72 cases in each group. The control group received endoscopic nucleus pulposus removal, and the observation group was treated with small incision laminectomy fenestration. The operation condition, pain degree and adverse events before and after treatment were observed of the two groups. Results In the observation group, the operation time, blood loss was（53.27±4.81）minutes,（66.94±5.35） m L, were significantly lower than the control group（P0.05）; after treatment, pain of patients in the two groups were improved, pain score of the observation group was（1.03±0.24） points, significantly lower than the control group（P 0.05）; While there were no significant differences in adverse events of the two groups（P0.05）. Conclusion The removal of nucleus pulposus can effectively control the disease in the patients with lumbar disc herniation, and the advantage of small incision fenestration is superior to other methods.