摘要
目的探析后路开窗减压髓核摘除结合Wallis系统固定治疗腰椎间盘突出症的临床疗效。方法采用随机数字表法将100例腰椎间盘突出症患者分为对照组和实验组,其中对照组使用单纯后路开窗减压髓核摘除术进行治疗,实验组使用后路开窗减压髓核摘除联合Wallis系统固定进行治疗,观察比较两组术中各项手术指标的变化,并随访3个月,观察比较两组腰椎功能恢复情况。结果实验组术中出血量(154±18)ml少于对照组的(285±18)ml,手术时间(72±17)min短于对照组的(134±17)min,两组切口总长度差异无统计学意义(P>0.05)。实验组治疗的总有效率比对照组提高28.00%(P<0.01)。实验组86.00%的患者腰部活动自如,腰腿疼痛症状明显改善,不影响日常活动;对照组只有58.00%的患者腰部活动自如,腰腿疼痛症状明显改善,不影响日常活动。结论应用后路开窗减压髓核摘除结合Wallis系统固定治疗腰椎间盘突出症具有确切的临床疗效,能够有效地促进患者腰椎间盘功能的恢复,缩短治疗时间,患者及家属较为满意,值得在临床上进一步推广应用。
Objective To explore the clinical efficacy of posterior fenestration decompression and discectomy combined with Wallis system fixation in the treatment of lumbar disc herniation .Methods Random number table method was used to divide 100 patients with lumbar disc herniation randomly into a control group and an experiment group .The patients in the control group were provided with posterior fenestration decompression and discectomy;on the basis of the control group , the ones in the experiment group were treated additionally with Wallis system fixation;and then, the changes in the operation indexes were compared between the two groups, and the patients were followed up for three months in order to observe the recovery of lumbar functions of the patients in both groups.Results Intraoperative bleeding in the experiment group [（154 ±18）ml] was less than that in the control group[ （285 ±18）ml], the operation time [（72 ±17）min] was less than that in the control group [（134 ±17）min], and there was no significant differences in total length of incision between the two groups （P＆gt;0.05）.Compared with the control group , the overall efficacy in the experiment group increased by 28.00%（P＆lt;0.01）.In the experiment group, the ratio 86.00%of the patients whose lumbar could move freely without lumbocrural pain symptoms and without impact on their daily activities was 86.00%, while in the control group the aforesaid ratio was only 58%.Conclusion Posterior fenestration decompression and discectomy combined with Wallis system fixation in treatment of lumbar disc herniation has exact clinical efficacy , can effectively promote the functional recovery of patients with lumbar disc herniation , and shorten the time of therapy;the patients and family members are satisfied with it .It is worthy of further clinical promotion and application .
出处
《西南国防医药》
CAS
2015年第3期249-252,共4页
Medical Journal of National Defending Forces in Southwest China
基金
张家口市科技攻关计划项目(12210470)
关键词
髓核摘除
Wallis系统
腰椎
椎间盘突出症
疗效
后路
fenestration
discectomy
Wallis system
lumbar vertebrae
intervertebral disc herniation
curative effect
posterior way
