腰椎间盘突出症脊柱微创手术治疗临床观察

卢朝阳

（周至县人民医院骨科，陕西 西安，710400）

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摘要：

目的 研究腰椎间盘突出症脊柱微创手术治疗的临床效果。方法 选取2013年4月至2016年4月我院收治的腰椎间盘突出症患者120例，随机分为对照组和观察组，每组60例。对照组实施传统开放手术治疗，观察组采用脊柱微创手术治疗。比 较两组的手术相关指标、临床效果、JOA评分及术后并发症发生情况。结果 观察组腰椎间盘突出症患者的围术期相关指标均优于对照组（P<0.05）。两组患者的并发症发生率比较，差异无统计学意义（P>0.05）。术前，观察组腰椎间盘突出症患者的 JOA评分与对照组比较，差异无统计学意义（P>0.05）；术后1个月和术后3个月，两组患者的JOA评分均较术前JOA评分显著降低（P<0.05），且观察组明显低于对照组（P<0.05）。观察组患者的临床治疗总有效率为96.67%，明显高于对照组的 80.00%（P<0.05）。结论 脊柱微创手术治疗腰椎间盘突出症患者安全有效，临床推广价值高。

关键词：腰椎间盘突出症；脊柱微创手术；开放手术

中图分类号：R687.3文献标志码：A文章编号：2096-1413(2017)26-0074-02

Clinical observation of minimally invasive spinal surgery for lumbar disc herniation
LU Zhao-yang
(Department of Orthopedic, People``s Hospital of Zhouzhi County, Xi``an 710400, China)

ABSTRACT: Objective To study the clinical effect of minimally invasive spinal surgery for lumbar disc herniation. Methods One hundred and twenty patients with lumbar disc herniation from April 2013 to April 2016 were selected and randomly divided into control group and observation group, with 60 cases in each group. The control group was given traditional open surgical treatment, while the observation group was given minimally invasive spinal surgery. The surgical indicators, clinical effects, JOA score and postoperative complications were compared between the two groups. Results The surgical indicators in the observation group were better than those in the control group (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). There was no significant difference in the JOA score before operation between the two groups (P>0.05); 1 and 3 months after surgery, the JOA scores of the two groups were significantly lower than those before surgery (P<0.05), and the JOA score of the observation group was significantly lower than the control group (P<0.05). The total effective rate of the observation group was 96.67%, which was significantly higher than 80.00% of the control group (P<0.05). Conclusion Spinal minimally invasive surgery in patients
with lumbar disc herniation is safe and effective, which has high clinical promotion value.

KEYWORDS: lumbar disc herniation; spinal minimally invasive surgery; open operation

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