摘要
目的比较头灯辅助下微创手术与常规手术治疗腰椎间盘突出症的疗效,探讨头灯辅助下小切口手术的优越性。方法选取我科自2005年2月至2008年4月间腰椎间盘突出症患者40例。其中头灯辅助微创手术23例,常规手术17例。记录每例切口大小,手术时间,出血量和临床疗效。结果 2组患者症状术后均缓解,治疗效果无明显差别。头灯辅助下微创手术切口小,创伤轻,出血少。切口仅2.6 cm,行皮内缝合,不需拆线。结论头灯辅助微创手术治疗腰椎间盘突出症疗效肯定,效果与常规手术相同。该术式具有创伤小,出血少,恢复快等优点,是治疗腰椎间盘突出症的有效方法。
Objective To compare microoperation assisted by headlamp with routine fenestration discectomy （RFD）, and to investigate the superiority of the former. Methods Forty patients of lumbar intervertebral disc protrusion between February 2005 and April 2009 were divided into two groups. The 23 patients in one group were treated with microoperation assisted by headlamp. The other 17 patients in another group were treated with RFD. Incision length, operation time, blood loss and curative effect were recorded and compared in the two groups. All patients were followed up 6-15 months. Results All the patients felt remissive apparently after operation. There was no significant difference between two groups in curative effect. The incision of microoperation assisted by headlamp was obviously shorter than that of the RFD and the blood loss, hospital time were less. The incision was sutured endocutaneously and was only 2.6 cm long on the average in patients treated with microoperation assisted by headlamp. Conclusion The clinical results of microoperation assisted by headlamp are satisfactory and similar to RFD. The microoperation assisted by headlamp is superior to RFD in operative trauma, blood loss and hospital time. Therefore the microoperation assisted by headlamp is an effective method to treat lumbar disc protrusion at present.
出处
《海军医学杂志》
2010年第4期331-333,共3页
Journal of Navy Medicine
关键词
微创手术
头灯
腰椎间盘突出症
常规腰椎间盘手术
Mierooperation
Headlamp
Lumbar disc herniation
Routine fenestration discectomy
