后路镜手术治疗腰椎间盘突出症的疗效

Effect of posterior approach surgery on lumbar disc herniation

目的:探讨后路镜手术治疗腰椎间盘突出症的疗效。方法:随机选取某医院收治的80例腰椎间盘突出症患者,依据治疗方法将这些患者分为后路椎间盘镜腰间盘切除术组(后路镜手术组,n=40)和显微镜下腰椎间盘切除术组(显微镜手术组,n=40)两组,后路镜手术组患者接受后路椎间盘镜腰椎间盘切除术治疗,显微镜手术组患者接受显微镜下腰椎间盘切除术治疗,然后对两组患者的临床疗效、术中术后指标、术后并发症发生率进行统计分析。结果:后路镜手术组患者的切口长度、恢复工作时间均显著短于显微镜手术组,差异有统计学意义(P<0.05),术中出血量显著少于显微镜手术组,差异有统计学意义(P<0.05)。结论:后路镜手术治疗腰椎间盘突出症的疗效及术后并发症与显微镜手术相当,但前者较后者具有较短的切口长度、恢复工作时间,较少的术中出血量。

Objective：To analyze the efficacy and complications of posterior approach surgery in the treatmentof lumbar disc herniation.Methods：80 patients with lumbar intervertebral disc herniation treated in People＇sHospital were randomly divided into two groups： posterior discectomy group （posterior discectomy group, n=40）and microscopic lumbar discectomy group （microscopic operation group）. Group n= 40. Patients in the posteriorendoscopic discectomy group received posterior lumbar discectomy. Patients in the microscopic surgery groupreceived lumbar discectomy under microscope. The clinical efficacy, intraoperative and postoperative indicators,and postoperative complications of the two groups were statistically analyzed.Results：The incision length andrecovery time in the posterior endoscopic group were significantly shorter than those in the microscopic group （P〈 0.05）.The amount of bleeding during the operation was significantly less than that in the microscopic group （P〈 0.05）.Conclusion： Posterior endoscopic surgery for lumbar disc herniation has the same curative effect andpostoperative complications as microscopic surgery, but the former has shorter incision length, recovery time andless intraoperative bleeding.