摘要
目的比较三种微创治疗腰椎间盘突出症的疗效及适应证范围。方法从2009年2月~2012年2月腰椎间盘突出症(Lumbar Disc Herniation,LDH)病人301例,采用三种方法治疗,经皮椎间盘切吸术(APLD)组(A组)97例,椎间盘镜术(MED)组(B组)103例,经皮穿刺三氧消融术(O3)组(C组)101例,比较三组治疗效果。结果所有病例获随访,经皮椎间盘切吸术97例,优78例,良15例,差4例,优良率95.8%;椎间盘镜术103例,优86例,良12例,差5例,优良率95.1%;经皮穿刺三氧消融术101例,优86例,良10例,差5例,优良率95.0%;三组疗效于治疗后优良率无明显差异(>0.05)。结论 APLD、MED和O3都是治疗LDH的较好方法,但是通过本组病例比较笔者还是认为应严格把握各自微创适应症来治疗腰椎间盘突出症的病人。
Objective To Compare the efficacy and indications on three minimally invasive treatments of Lumbar Disc Herniation(LDH). Methods From February 2009 to February 2012,301 patients with LDH were randomly divided into three groups: 97 cases of APLD(Group A), 103 cases of MED(Group B) and 101 cases of O3(Group C), then compare the treatments' effects of the three groups. Results All cases have been followed up, APLD has 97 cases, in which 78 cases were excellent, 15 cases were good and 4 cases were poor, the excellent and good rate was 95.8%; MED has 103 cases, in which 86 cases were excellent, 12 cases were good, 5 cases were poor, the excellent and good rate was 95.1%;O3has 101 cases, in which 86 cases were excellent, 10 cases were good, 5 cases were difference, the excellent and good rate was 95.0%. All the three minimally invasive surgery, the excellent and good rate was 92.7%. The three treatments' effective rates have no significant different( >0.05). Conclusion APLD, MED and O3 are all good treatments on LDH,, by comparing this group of patients, however witter still consider that strict indications to grasp their minimally invasive treatment of lumbar disc herniation patients.
出处
《生物骨科材料与临床研究》
CAS
2015年第1期64-66,共3页
Orthopaedic Biomechanics Materials and Clinical Study
