腰椎间盘突出症两种术式的对比分析

Comparative Analysis of Two Kinds of Operations in Treating Lumbar Disc Herniation

目的分析在治疗腰间盘突出症的过程中利用两种术式的临床效果对比情况。方法从2011年1月—2014年6月来该院进行腰间盘突出症治疗的患者病例中随机选取62例,采用回顾式分析方式,将62例患者为两个小组,其中一组患者采取单纯髓核摘除术进行治疗,作为研究组,共29例;另外一组患者则采用的是融合内固定术进行治疗,做为对照组,共33例。分别对两组患者影响手术疗效的因素进行分析,对治疗后治疗效果进行对比,并对患者术中出血量、手术时间、住院时间以及症状缓解时间进行对比分析。结果研究组患者治疗后腰疼指数为(12.57±1.03)分,低于对照组(12.76±1.09)分,研究组患者总有效率为96.55%,略高于对照组90.91%。研究组中有1例(3.45%)出现复发的情况,对照组有2例(6.06%)。两组数据之间无明显,差异无统计学意义(P>0.05)。另外研究组患者的术中出血量、住院时间、手术平均时间均小于对照组患者,两组数据之间存在明显,差异有统计学意义(P<0.05)。结论在治疗腰间盘突出症的过程中,运用单纯髓核摘除术和融合内固定术疗效较好,手术操作简便,术中出血量少,患者术后恢复快,且复发率较低。

Objective To compare the effects of the kinds of operations in treating lumbar disc herniation. Methods A retrospective analysis was carried out on 62 patients with lumbar disc herniation treated in our hospital between January 2011 and June2014. They were divided into study group in which the 29 patients simple lumbar discectomy, and control group in which the 33 patients were treated with fusion and internal fixation. Influencing factors on the operation were analyzed for the two groups and intraoperative blood loss, operation duration, hospitalization time, symptom remission time, treatment effects were compared between the two groups. Results The pain scores were lower and overall effective rate higher in the study group than in the control group(12.57±1.03) vs(12.76±1.09) and 96.55% vs 90.91%, and there was 1 case(3.45%) of recurrence in the study group and 2cases(6.06%) in the control group, but the differences above were not statistically significant, P>0.05. In addition, in the aspects of intraoperative blood loss, hospitalization time, mean operation duration, the study group was less than the control group with sta-tistically significant differences, P<0.05. Conclusion Simple lumbar discectomy and fusion and internal fixation, in the treatment of lumbar disc herniation, both have good effect, and both of them are easy to operate, less in intraoperative blood loss, quick in recovery and lower in recurrence.