| 李智勇,余伟民,王国文,胡万华,赵建利.显微内窥镜椎间盘切除术(MED)治疗腰椎间盘突出症的特点及易出现的并发症研究[J].,2021,(9):1652-1655 |
| 显微内窥镜椎间盘切除术(MED)治疗腰椎间盘突出症的特点及易出现的并发症研究 |
| Study on Microendoscopic Discectomy in Treatment of Lumbar Disc Herniation |
| 投稿时间：2020-10-12 修订日期：2020-10-31 |
| DOI：10.13241/j.cnki.pmb.2021.09.011 |
| 中文关键词: 显微内窥镜椎间盘切除术 腰椎间盘突出症 并发症 髓核组织残留 神经根损伤 |
| 英文关键词: Microendoscopic discectomy Lumbar disc herniation Complications Residual nucleus pulposus tissue Nerve root injury |
| 基金项目:陕西省重点研发计划项目（2019SF-185） |
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| 中文摘要: |
| 摘要 目的：探讨与研究显微内窥镜椎间盘切除术(microendoscopic discectomy，MED)治疗腰椎间盘突出症的特点及易出现的并发症情况。方法：2017年1月到2020年2月选择在空军第九八六医院诊治的椎间盘突出症患者72例，根据治疗方法把患者分为MED组与对照组，各36例，MED组给予MED手术治疗，对照组给予开放手术治疗，记录两组术后并发症发生情况。结果：MED组术后6个月的优良率为97.2 %，显著高于对照组的77.8 %(P<0.05)。两组术后1个月、术后6个月的日本骨科协会(Japanese orthopaedic association，JOA)评分高于术前，MED组高于对照组(P<0.05)。两组术后1个月、术后6个月的视觉模拟评分法(visual analogue scale，VAS)评分低于术前，MED组低于对照组(P<0.05)。MED组术后6个月的髓核组织残留、神经根损伤、硬脊膜破裂、脑脊液漏等并发症发生率为5.6 %，显著低于对照组的33.3 %(P<0.05)。结论：MED治疗腰椎间盘突出症能改善患者的腰椎功能，缓解患者疼痛，提高总体治疗优良率，减少术后并发症的发生。 |
| 英文摘要: |
| ABSTRACT Objective: ABSTRACT Objective: To explore and study the characteristics of microendoscopic discectomy (MED) in the treatment of lumbar disc herniation and the prone complications. Methods: A total of 72 patients with intervertebral disc herniation, who were diagnosed and treated in Xijing 986 Hospital, Fourth Military Medical University from January 2017 to February 2020, were selected and were randomly divided into MED group(n=36) and control group(n=36). The MED group was given MED surgery treatment; the control group was given open surgery. The postoperative complications were recorded in the two groups. Results: The excellent and good rate(97.2 %) of 6 months after operation in the MED group was significantly higher than that (77.8 %) in the control group (P<0.05). The Japanese orthopaedic association (JOA) scores 1 month and 6 months after surgery of the two groups were higher than before operation, and the MED group was higher than the control group (P<0.05). The visual analogue scale (VAS) scores 1 month and 6 months after surgery of the two groups were lower than before operation, and the MED group was lower than the control group (P<0.05). The incidence (5.6 %) of complications such as residual nucleus pulposus tissue, nerve root injury, dural rupture, and cerebrospinal fluid leakage in the MED group 6 months after surgery was significantly lower than that(33.3 %) of the control group(P<0.05). Conclusion: In the treatment of patients with lumbar disc herniation, MED can improve the patients' lumbar spine function, promote pain relief, increase the overall excellent rate of treatment, and reduce postoperative complications. |
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