经皮腰椎间盘摘除术与经皮激光椎间盘减压术的随机对照研究

Auto Percutaneous Lumbar Discectomy and Percutaneous Laser Disc Decompression: A Randomized Controlled Trial

目的 对比分析经皮自动腰椎间盘摘除术 (APLD)和经皮激光椎间盘减压术 (PLDD)的治疗效果。资料与方法 经临床和影像学检查证实为腰椎间盘突出或膨出者 6 6例。随机分为APLD组或PLDD组 ,各 33例。结果 总优良率 84 .8% ,APLD组优良率 87.9% ,PLDD组优良率 81.8% (χ2 =1.11,P >0 .0 5 )。

Objective To compare the therapeutic effectiveness of auto percutaneous lumbar discectomy (APLD) and percutaneous laser disc decompression (PLDD) in treating lumbar disc protrusion or bulging.Materials and Methods Sixty-six patients with clinically- or radiologically-proved protrusion or bulging of lumbar intervertebral disc were randomly divided into two equal groups. The patients in one group received APLD and the patients in the other group received PLDD. The therapeutic results in the two groups were compared.Results Excellent or good results obtained in APLD group and PLDD group was 87.9% (29/33) and 81.8% (27/33), respectively, with χ 2=1.11 and P>0.05. Conclusion No significant difference in therapeutic effectiveness exists between APLD and PLDD.