椎间盘镜术与传统椎板间隙开窗术治疗青少年腰椎间盘突出症的比较研究Comparison of operative result of MED with conventional discectonomy in treating lumbar disc herniation in the adolescents
欧裕福;李荣祝;韦建勋;尹东;梁斌;
摘要(Abstract):
[目的]比较显微内窥镜腰椎间盘切除系统(microendoscopy discectomy,MED)与传统的后路椎板间隙开窗术治疗青少年腰椎间盘突出症的疗效。[方法]回顾分析130例青少年腰椎间盘突出症患者的临床资料,观察组为椎间盘镜术(MED)组64例,对照组为后路椎板间隙开窗术组66例,根据Nakai标准评价疗效,并观察两组手术时间、术中出血量、术后镇痛药物应用、术后下床活动时间、术后住院日及恢复正常生活或工作的时间情况。[结果]经术后6个月~11年的随访,椎间盘镜术(MED)组优良率为93.5%,后路椎板间隙开窗术组优良率90.6%,两组疗效比较,差异无显著性(P>0.05),但MED组在术中出血量、术后镇痛药物的应用、术后下床活动时间、术后住院时间、恢复正常生活或工作时间优于后路椎板间隙开窗术组(P﹤0.05)。[结论]椎间盘镜术(MED)治疗青少年型腰椎间盘突出症疗效与后路椎板间隙开窗术相同,但椎间盘镜术(MED)具有创伤小、对腰椎稳定性破坏小、出血少、住院时间短、术后恢复快等优点,是治疗青少年腰椎间盘突出症的一种理想手术方法。
关键词(KeyWords): MED;开窗术;腰椎间盘突出症;青少年
基金项目(Foundation):
作者(Author): 欧裕福;李荣祝;韦建勋;尹东;梁斌;
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DOI:
参考文献(References):
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