微创医学

【摘要】目的观察和分析椎间孔镜微创治疗腰椎间盘突出症患者的近远期疗效及并发症。方法随机将纳入的86例患者分为研究组和对照组，每组43例。研究组行椎间孔镜微创手术治疗，对照组行传统的开窗减压手术治疗。观察和记录两组患者的住院时间、术后恢复情况和并发症；术后随访3年，观察患者的疗效、复发率。结果研究组住院时间少于对照组，VAS降低值、ODI降低值均大于对照组，并发症少于对照组，差异有统计学意义（P＜0.05）。研究组优良率为93.0%，对照组为83.7%，两组比较，差异有统计学意义（P＜0.05）。结论椎间孔镜微创手术安全性高，术中风险小，术后近期及远期疗效肯定，值得推广使用。

【Abstract】 ObjectiveTo observe and analyze the shortterm/longterm efficacy and complications of transforaminal endoscope for minimally invasive therapy of lumbar disc intervertebral protrusion. MethodsEightysix patients were randomly divided into study group and control group, with 43 cases in each group. The study group received minimally invasive surgery under transforaminal endoscope, and the control group received conventional fenestration decompression. The hospital stay, postoperative recovery and complications of the patients were observed and recorded. During 3year followup, and efficacy and the recurrence rate of the patients were observed. ResultsCompared with the control group, the hospital stay was less, VAS and ODI values were higher and the complication rate was lower in the study group(P＜0.05). The excellent rates of the study group and the control group were 93.0% and 83.7% respectively, and there was significant difference（χ2=3.979，P＜0.05）. ConclusionMinimally invasive surgery under transforaminal endoscope obtains a high safety, less risk during operation and definite shortterm/longterm efficacy. And this approach is worthy of promotion and application.

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