摘要
目的评价小切口显微腰椎间盘切除术近期疗效。方法比较小切口显微腰椎间盘切除术(显微组)与传统手术(传统组)各38例手术时间、术中出血量、术后下地时间与住院时间。术后疗效评价采用MacNab法。结果两组手术时间相近;显微组较传统组术中平均出血量减少,术后平均下地时间早2.6 d;住院时间减少2.9 d。显微组发生并发症2例,传统组4例。显做组37例获平均5.6个月随访,传统组36例获平均13.6个月随访。显微组优良率为94.7%,传统组优良率为88.9%。结论小切口显微腰椎间盘切除术具有创伤小、安全、术后恢复快、疗效满意的优点。
Objective To evaluate the early outcomes of mini-open lumbar microdiscectomy. Methods There were 38 cases in each group of mini-open lumbar microdiscectomy and conventional discectomy. Operating time, blood loss, time of leaving the bed and length of hospital stay were compared in two groups. MacNab criteria were used to evaluate the outcomes. Results To compare the conventional discectomy group, microdiscectomy group spent similar operating time, but had less blood loss（ P 〈 0.05 ）. The time of leaving the bed after operation in microdiscectomy group was 2. 6 average days shorter than discectomy group and 2. 9 average days shorter in length of hospital stay. There were 2 complications in microdiscectomy group and 4 complications in conventional discectomy group. Thirty-seven cases got follow-up mean 5.6 months in microdiscectomy group and 36 cases in conventional discectomy group mean 13.6 months. The results demonstrated a 94. 7% success rate and in the microdiscectomy group and a 88. 9% success rate in the conventional disectomy group. Conclusion Lumbar microdiscectomy with mini-open has the advantages on less trauma, safety, quickly postoperative recovery, and satisfactory outcomes.
出处
《中华显微外科杂志》
CSCD
北大核心
2007年第6期410-412,共3页
Chinese Journal of Microsurgery
