微创手术和开放手术治疗腰椎间盘突出症100例疗效观察

The observation of the effect of 100 cases of minimally invasive operation and open operation for the treatment of lumbar disc herniation

目的:比较分析微创手术和开放手术治疗腰椎间盘突出症的临床疗效。方法:收治腰椎间盘突出症患者100例,随机分为治疗组52例,观察组48例;治疗组采用微创手术治疗,观察组采用常规开放手术治疗。微创手术采用椎间盘镜腰椎间盘髓核摘除术,常规开放手术采用椎板开窗和腰椎间盘髓核摘除术。比较两组的手术时间、术中出血量、术后引流量、术后住院时间与总住院时间,所有患者均获得随访。结果:治疗组较观察组的手术时间短、术中出血量少、术后引流量少、术后住院时间与总住院时间均短,差异均有统计学意义(P<0.05)。结论:微创手术与常规开放手术对腰椎间盘突出症的治疗均有较好的疗效,微创手术虽然对术者的要求较高,但微创手术时间短、术中出血量少、术后引流量少、术后住院时间与总住院时间均短于常规开放手术,临床疗效确切,值得进一步推广。

Objective:To explore the clinical curative effect of minimally invasive operation and open operation for the treatment of lumbar disc herniation.Methods:100 cases with lumbar disc herniation were selected.They were randomly divided into the treatment group with 52 cases and the observation group with 48 cases.The treatment group were treated with minimally invasive operation,and the observation group were treated with conventional open operation.Minimally invasive operation used microendoscopic lumbar discectomy,and conventional open operation used fenestration and lumbar discectomy.We compared the operation time,bleeding in operation,postoperative drainage,postoperative hospital stay and the hospitalization time of the two groups.All patients were followed up.Results:Compared with the observation group,the operation time of treatment group was short;the amount of bleeding was small;postoperative drainage volume was small;postoperative hospital stay and the hospitalization time was short;the difference was statistically significant(P0.05).Conclusion:Minimally invasive operation and conventional open operation all have good effect on the treatment of lumbar disc herniation,although the request for operator of minimally invasive operation is higher.But at the same time,minimally invasive operation time is short;the amount of bleeding is small;postoperative drainage volume is small;postoperative hospital stay and the hospitalization time is short;curative effect is exact.It is worthy of further promotion.