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潜江市中心医院骨外科
纸质出版日期:2016,
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[1]唐贤钧.微创椎间盘镜手术对多节段腰椎管狭窄症患者临床症状改善及近远期疗效观察[J].保健医学研究与实践,2016,13(02):47-50.
Tang Xianjun. The Curative Effect and Clinical Presentation of Micro Endo Disc System in the Treatment of Multiple Segment Lumbar Stenosis[J]. Health Medicine Research and Practice, 2016,13(2):47-50.
目的探讨微创椎间盘镜手术治疗多节段腰椎管狭窄症的近远期疗效及其对患者临床症状改善的影响。方法选取2011年2月-2013年2月行择期手术的82例多节段腰椎管狭窄症患者
采用数字随机表法将患者随机分为2组
每组41例。对照组患者采用开放手术治疗
研究组患者采用微创椎间盘镜手术治疗
记录2组患者的手术时间、术中出血量、住院时间、恢复工作时间、术后并发症发生率及复发率
评估2组患者的临床疗效
并行疾病主要症状和Oswestry功能障碍指数(ODI)评分。结果研究组患者治疗总有效率为94.56%
明显高于对照组(80.49%)
差异有统计学意义(P<0.05)。研究组患者手术时间为(61.26±12.64)min
住院时间为(11.22±2.76)d
恢复工作时间为(20.18±4.08)d
均明显短于对照组
差异均有统计学意义(P<0.05);研究组患者术中出血量(152.06±16.97)mL
明显少于对照组
差异有统计学意义(P<0.05)。研究组患者术后6个月腰腿痛、间歇性跛行、下肢感觉麻木3项症状评分及ODI评分明显低于对照组
差异均有统计学意义(P<0.05);研究组患者术后24个月ODI评分明显低于对照组
差异有统计学意义(P<0.05)
腰腿痛、间歇性跛行、下肢感觉麻木3项症状评分也低于对照组
但差异无统计学意义。研究组患者2年内复发率为0.00%
对照组患者2年内复发率为4.88%
2组比较差异无统计学意义;研究组患者术后并发症发生率为2.44%
明显低于对照组(12.20%)
差异有统计学意义(P<0.05)。结论微创椎间盘镜手术治疗多节段腰椎管狭窄能够有效改善腰腿痛、间歇性跛行、下肢感觉麻木等临床主要症状
临床疗效显著。
Objective To explore the long-term and short-term curative effect and clinical presentation of Micro Endo Disc System(MED)in the treatment of multiple segment lumbar stenosis.Methods Eighty two of the patients who required surgery for multiple segment lumbar stenosis from Feb.2011 to Feb.2013 were selected and randomly divided into 2groups with 41 cases for each group.The control group underwent surgical treatment
while the treatment group chose MED.Operative time
amount of bleeding during operation
hospital stay
recovery time
incidence of complication and recurrence ratio were analyzed in order to assess curative effect
main symptoms and Oswestry Disability Index(ODI)of the two groups.Results The total effective rate of treatment group was 94.56%
which was much higher than that of control group(80.49%).This difference was significant(P<0.05).The operative time
hospital stay and recovery time for treatment group were(61.26±12.64)min
(11.22±2.76)d and(20.18±4.08)d respectively
and all of them were shorter than those of control group.The differences were significant(P<0.05)and remained so when considering the amount of bleeding during operation for treatment group(152.06±16.97)mL.Symptom scores and ODI of treatment group after 6months of surgery were lower than those of control group concerning low back and leg pain
charcot′s syndrome and lower extremity numbness.The differences were significant(P<0.05).ODI of treatment group after 24 months of operation was lower than that of control group with statistically significant difference(P<0.05)
and symptom scores of low back and leg pain
charcot’s syndrome and lower extremity numbness went the same
but their differences were insignificant.No patient in treatment group suffered recurrence within 2years(recurrence rate of 0.00%)
while the ratio of control group was 4.88%.The difference was insignificant.The incidence of complication of treatment group was 2.44%
which was lower than that of control group(12.20%).This difference was significant(P<0.05).Conclusion The curative effect of Micro Endo Disc System(MED)in the treatment of multiple segment lumbar stenosis is significant
manifesting in relieving symptoms of low back and leg pain
charcot′s syndrome and lower extremity numbness.
腰椎管狭窄症多节段椎间盘镜恢复时间疗效
Lumbar stenosisMultiple segmentMicro endo disc systemRecovery timeCurative effect
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