椎板间开窗髓核摘除术治疗腰椎间盘突出症.docx

椎板间开窗髓核摘除术治疗腰椎间盘突出症[摘要]目的：探讨限制电动钻开窗髓核摘除术治疗腰椎间盘突出症的临床疗效。方法：我院2004年6月~2009年10月对80例腰椎间盘突出症患者采用限制电动钻开窗髓核摘除术治疗（治疗组）和常规开窗髓核摘除术治疗（对照组）。术前以及术后采用日本骨科学会（JOA）下腰痛评分标准进行比较评价其手术后疗效。结果：治疗组手术时间为（143.5±22.3）min术中出血量为（250.3±124.7）ml伤口长度为（2.2±0.7）cmVAS评分改善率为（80.1±4.7）%ODI评分改善率为（73.6±2.8）%平均输血量为（28.5±10.4）ml术后平均引流量为（63.1±8.4）ml；对照组手术时间为（123.8±17.6）min术中出血量为（482.3±179.2）ml伤口长度为（7.5±3.2）cmVAS评分改善率为（73.2±3.2）%ODI评分改善率为（62.4±1.9）%平均输血量为（108.3±27.9）ml术后平均引流量为（113.9±25.6）ml。两组同项比较差异均有显著性（t=2.01、6.18、3.28、2.29、2.26、9.43、7.48P均＜0.05）。所有患者均随访随访12~30个月平均20个月。采用JOA下腰痛评分标准：术后2周、半年以及一年半两组组内及组间P值均[关键词]腰椎间盘突出症；限制电动钻钻孔；开窗髓核摘除术[中图分类号]R681.5[文献标识码]Ａ[文章编号]1673-7210（2011）11（a）-066-03LimitedelectricdrilldiscectomytreatingforlumbardischerniationGUOYongfeiCENMingWUGuanghuanMAIGangLIANGYirongLIUZhenYingDepartmentofOrthopedicSpinetheTraditionalChineseMedicineHospitalofWuzhouCityGuangxiAutonomousRegionWuzhou543000China[Abstract]Objective:Toexploretheeffectsoflimitselectricdrilldiscectomytreatingforlumbardischerniationpatients.Methods:80casesoflumbardischerniationintraditionalChinesemedicinehospitalofWuzhouCityfromJune2004toOctober2009whoweretreatedwithlimitedelectricdrilldiscectomy(treatmentgroup)andconventionalopensurgery(controlgroup).PreoperativeandpostoperativeeffectswerecomparedbytheJapaneseOrthopaedicAssociation(JOA)scoreforlowbackpainaftersurgerytoevaluatetheefficacyofthepostoperativeeffects.Results:Thetreatmentgroupoperativetimewas(143.5±22.3)minbloodlosswas(250.3±124.7)mlwoundlengthwas(2.2±0.7)cmVASscoreimprovementratewas(80.1±4.7)%ODIscoreimprovementratewas(73.6±2.8)%theaveragebloodvolumewas(28.5±10.4)mlmeanpostoperativedrainagewas(63.1±8.4)ml;thecontrolgroupoperativetimewas(123.8±17.6)minbloodlosswas(482.3±179.2)mlwoundlengthwas(7.5±3.2)cmVASscoreimprovementratewas(73.2±3.2)%O