[1]张志朋　汪冬生　刘合振.不同入路椎间孔镜术治疗腰椎间盘突出症的疗效及安全性比较[J].中国临床神经外科杂志,2018,(11):727-728.[doi:10.13798/j.issn.1009-153X.2017.11.007]
　ZHANG Zhi-peng,WANG Dong-sheng,LIU He-zhen.Curative effects intervertebral foraminoscopy via posteriolateral approach on lumbar disc herniation and its safeness compared with that via posterior approach[J].,2018,(11):727-728.[doi:10.13798/j.issn.1009-153X.2017.11.007]
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不同入路椎间孔镜术治疗腰椎间盘突出症的疗效及安全性比较()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年11期
页码:
727-728
栏目:
论著
出版日期:
2018-11-25

文章信息/Info

Title:
Curative effects intervertebral foraminoscopy via posteriolateral approach on lumbar disc herniation and its safeness compared with that via posterior approach
作者:
张志朋　汪冬生　刘合振
435000 湖北，黄石华中福康医院骨科（张志朋、汪冬生、刘合振）
Author(s):
ZHANG Zhi-peng;  WANG Dong-sheng;  LIU He-zhen
Department of Orthopaedics, Huangshi Huazhong Fukang Hospital, Huangshi 435000, China
关键词:
腰椎间盘突出症; 椎间孔镜术; 侧后入路; 后路入路; 疗效; 安全性
Keywords:
Lumbar disc herniation;  Intervertebral foraminoscopy;  Posteriolateral approach;  Posterior approach;  Curative effects
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.11.007
文献标志码:
A
摘要:
目的 探讨不同入路椎间孔镜术治疗腰椎间盘突出症（LDH）的疗效及安全性。方法 2015年3月至2018年3月收治LDH 140例，依据手术入路分为侧后入路组和后路入路组，每组70例。侧后入路组行侧后入路椎间孔镜术治疗，后路入路组行后路入路椎间孔镜术治疗。结果 侧后入路组术中透视次数、手术时间明显高于后路入路组（P<0.05），侧后入路组术中出血量、卧床时间、住院时间、并发症发生率明显低于后路入路组（P<0.05）。术后1 d、3个月，两组视觉模拟量表评分、 Oswestry功能障碍指数问卷表评分较术前均明显改善（P<0.05），但两组之间无统计学差异（P>0.05）。结论 与后路入路比较，侧后入路椎间孔镜术治疗LDH的疗效确切，且具有安全性高、康复快的优点。
Abstract:
Objective To explore the curative effects of intervertebral foraminoscopy via posteriolateral and posterior approaches on the lumbar disc herniation (LDH) and their safeness. Methods One hundred and forty patients with LDH were randomly divided into both the group A, in which 70 patients underwent the intervertebral foraminoscopy via posteriolateral approach, and group B, in which 70 patients underwent intervertebral foraminoscopy via posterior approach, from March, 2015 to March, 2018 in our hospital. The curative effects and safeness were compared between both the groups. Results The times of intraoperative roentgenoscopy and duration of the operation were significantly more and the volume of intraoperative bleeding, hospital stay and the rate of complication occurrence were significantly lower in group A than those in group B (P<0.05). The scores of visual analogue scale and Oswestry disability index questionnaire were significantly fewer 1 day and 3 months after the surgery than those before the surgery in both the groups (P>0.05), but there were insignificant differences in them between both the groups 1 day and 3 months after the surgery (P>0.05). Conclusions Compared with the intervertebral foraminoscopy via posterior approach, the intervertebral foraminoscopy via posterolateral approach has the advantages such as high safety and fast recovery in the patients with LDH and it is worthy of further clinical promotion.

参考文献/References:


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更新日期/Last Update: 2018-11-20