摘要
目的 观察应用显微微创技术治疗腰椎管狭窄的临床疗效.方法 选取80例腰椎管狭窄患者,在知情同意的前提下按照随机数字表法将其平均分为观察组及对照组各40例,分别采用显微微创技术及传统后路椎板双侧开窗减压术治疗,对比两组患者的手术情况及治疗效果.结果 观察组平均手术时间（36.2 ±4.1）min,对照组为（41.4±5.7）min,观察组手术时间明显较对照组短（t=2.719,P＜0.05）；观察组术中平均出血量为（51.6±7.3）ml,对照组为（101.0±11.7） ml,观察组术中出血量明显低于对照组（P＜0.05）；两组治疗前JOA评分差异无统计学意义（P＞0.05）；治疗后随访,两组JOA评分均显著升高,观察组上升程度较对照组明显（t =2.379,P＜0.05）；治疗结果：观察组优19例,良17例,优良率90.0％；对照组优13例,良16例,优良率72.5％,观察组治疗效果明显优于对照组（x2=6.594,P＜0.05）；观察组未出现明显术后并发症,对照组出现3例神经根损伤,1例椎间隙感染,2例切口渗漏,并发症发生率15.0％,观察组并发症发生率明显低于对照组（x2=3.357,P＜0.05）.结论 采用显微微创技术治疗腰椎管狭窄具有疗效好、创伤小、安全性高等特点,有利于提高患者预后,可逐步取代传统后路椎板双侧开窗减压术治疗.
Objective To explore the effects of minimally invasive technique in the treatment of lumbar spinal stenosis.Methods 80 lumbar spinal stenosis patients were divided into the observation group and control group,40 cases in each group,who were informed consent under the premise of the stochastic averaging grouping.The two groups were treated with microscopic invasive technology and traditional posterior bilateral fenestration decompression,and the therapeutic effect of two groups were compared.Results The average operation time of the observation group （36.2 ± 4.1） rain was obviously shorter than that of the control group （41.4 ± 5.7） min （t =2.719,P 〈 0.05） ; the average amount of bleeding of the observation group （51.6 ± 7.3） ml was significantly lower than that of the control group（101 ± 11.7） ml（P 〈 0.05） ; the two groups of patients before treatment JOA score had no significant difference after treatment,follow-up,JOA scores of the two groups increased significantly,the observation group increased significantly compared with the control group （P 〈 0.05） ; the treatment group 19 cases of excellent,good in 17 cases,the excellent and good rate was 90%,control group 13 cases of excellent,good in 16 cases,the excellent and good rate was 72.5 %,the treatment group was better than the control group （x2 =6.594,P 〈 0.05） ; the observation group did not appear obvious postoperative complications occurred in 3 cases,the control group of nerve root injury,1 cases of intervertebral space infection,2 cases of incision leakage,the incidence of complications was 15%,observation complication rate was significantly lower than that of the control group （x2 =3.357,P 〈 0.05）.Conclusion The microscopic invasive technique for the treatment of lumbar spinal stenosis has a good curative effect,small trauma,high safety,which is conducive to improve the prognosis of patients,can gradually replace the traditional posterior bilateral fenestration decompression.
出处
《中国基层医药》
CAS
2013年第19期2974-2976,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
外科手术
微创性
椎管狭窄
减压术
外科
Surgical procedures, minimally invasive
Spinal stenosis
Decompression, surgical
