任佳彬;刘鹏飞;孙兆忠;房清敏;韩雪馨;李瑞;

• 1:滨州医学院附属医院

摘要(Abstract)：

[目的]对于治疗青少年腰椎间盘突出症(LDH)的经皮椎间孔镜技术与传统椎板间开窗髓核摘除术这两种不同外科术式进行比较。[方法]对本院2011~2014年23例青少年LDH患者临床资料进行回顾性分析,其中采用TESSYS技术行经皮椎间孔镜下髓核摘除术(PTED)组13例,传统椎板间开窗髓核摘除术组10例。观察两组切口长度、手术时间、术后下床活动时间、住院时间;记录两组患者术前、后红细胞压积(Hct),并利用Gross循环血量线性方程,计算总失血量;根据患者术前、后下肢痛VAS评分及术后改良Mac Nab标准评分进行临床疗效分析。[结果]23例患者均获得随访,随访时间10~18个月,平均13.7个月。两组术后3 d,1、3个月及末次随访时VAS评分与术前相比均明显降低,差异有统计学意义(P<0.05),组间比较差异无统计学意义(P>0.05);按改良Mac Nab标准,末次随访时PTED组优10例,良2例,可1例,优良率为92.3%;开窗术组优8例,良1例,可1例,优良率为90.0%,两组间比较差异无统计学意义(P>0.05),但PTED组在手术时间、切口长度、总失血量、术后下床时间、住院时间方面优于开窗组(P<0.05)。[结论]PTED治疗青少年LDH疗效与传统椎板间开窗术相当,但PTED具有创伤小、出血少、下床活动早、术后恢复快等优点,是治疗青少年LDH的一种良好术式。

关键词(KeyWords)： 青少年;腰椎间盘突出症;椎间孔镜;开窗

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 任佳彬;刘鹏飞;孙兆忠;房清敏;韩雪馨;李瑞;

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