微创与开放手术治疗腰椎间盘突出症的临床疗效比较

摘要

Objective To observe and compare the clinical effects of minimally invasive surgery and open surgical treatment for lumbar intervertebral disc herniation.Method The 62 patients diagnosed with lumbar disc herniation in our hospital were randomly divided into observation group and control group,In the control group,31 cases were treated with open intervertebral body fusion;A total of 31 cases were treated with Quadrant minimally invasive surgery.Observe the therapeutic effect of two groups.Result There was no significant difference between the two groups (P＞0.05).The incision length and intraoperative blood loss were significantly lower in the observation group than in the control group (P＜0.05).The scores of visual analogue scale (VAS),Japanese Orthopaedic Association (JOA) and Oswestry disability index (ODI) after operation were significantly better than before operation in both groups,the difference was statistically significant (P＜0.05).Conclusion Minimally invasive surgery for lumbar intervertebral disc herniation has a smaller incision length and less intraoperative bleeding than open surgery,it is favorable prognosis for patients,and has high clinical application value.%目的 比较微创手术与开放手术治疗腰椎间盘突出症的临床效果.方法 选择2016年9月至2017年9月本院收治的62例腰椎间盘突出症患者,随机分为观察组与对照组,每组31例.对照组采用开放经椎间孔椎体间融合术治疗,观察组采用Quadrant微创手术系统治疗,观察比较两组的手术时间、切口长度、术中出血量,采用日本矫形协会(Japanese Orthopaedic Association,JOA)评分标准、视觉模拟评分(visual analogue scale,VAS)法及腰椎功能障碍指数(Oswestry disability index, ODI)进行疗效评价.结果 两组手术时间差异无显著性(P＞0.05),观察组患者切口长度为(2.71±0.82) cm,术中出血量为(38.4±7.3) ml,均明显低于对照组[分别为(4.65±1.52) cm、(54.7±10.5) ml],差异有显著性(P＜0.05).两组术后VAS、JOA及ODI评分均较入院时明显改善,差异有显著性(P＜0.05),但术后两组间比较差异无显著性(P＞0.05).结论 相对于开放手术,微创手术治疗腰椎间盘突出症具有手术切口小、术中出向量少、术后恢复好等优点,有较高的临床应用价值.