| 杨铁毅,刘树义,刘粤,王铭春,吴亮,宋炜中,郑士伟,王治,张岩,黄国华,丁志宏.内窥镜下椎间盘切除术与显微椎间盘摘除术的比较研究[J].脊柱外科杂志,2008,6(4):217-220. |
内窥镜下椎间盘切除术与显微椎间盘摘除术的比较研究  点此下载全文 (Fulltext) |
| 杨铁毅 刘树义 刘粤 王铭春 吴亮 宋炜中 郑士伟 王治 张岩 黄国华 丁志宏 |
| 200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科;200135 上海, 上海浦东公利医院骨科 |
| 基金项目：上海市浦东新区科委课题项目（PKJ2005-30） |
| DOI： |
| 摘要点击次数: 2158 |
| 全文下载次数: 1323 |
| 摘要： |
| 目的 比较内窥镜下椎间盘切除术（MED）与显微镜下椎间盘切除术（MSLD）治疗腰椎间盘突出症的临床疗效。方法 2004年10月~2007年6月，手术治疗腰椎间盘突出症91例，其中MED组46例，MSLD组45例。前瞻性比较2组术中出血量、手术时间、住院费用及功能评价等指标。结果 MSLD组较MED组出血少、手术时间短、费用低，2组差异有统计学意义（P<0.05）。MED组3例硬膜撕裂，MSLD组0例；MED组5例术中转开放手术，MSLD组0例。下床活动时间、住院时间及功能评定结果2组间差异无统计学意义（P>0.05）。结论 MSLD组较MED组手术创伤小、费用低、视野清晰、立体感强，是治疗腰椎间盘突出症更为安全的微创方法。 |
| 关键词：腰椎 椎间盘移位 椎间盘切除术 外科手术,微创性 |
| Comparative study of clinical effect between microendoscopic discectomy and microsurgical lumbar discectomy for lumbar disc herniations Fulltext |
| YANG Tieyi LIU Shuyi LIU Yue WANG Mingchun WU Liang SONG Weizhong ZHENG Shiwei WANG Zhi ZHANG Yan HUANG Guohua DING Zhighong |
| Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China;Department of Orthopaedics, Shanghai Pudong New Area Gongli Hospital, Shanghai 200135, China |
| Fund Project: |
| Abstract: |
| Objective To compare the clinical effect of microendoscopic discectomy (MED) and microsugical lumbar discectomy (MSLD) for lumbar disc herniations. Methods A prospective randomized controlled study was performed on 91 patients with lumbar disc herniations from Oct. 2004 to Jun. 2007. The cases were randomly divided into MSLD group (n=45) and MED group (n=46). The reference index of clinical effect such as blood loss, operation time, hospitalization expense and MacNab function evaluation etc were compared statistically. Results The MSLD group had less blood loss, shorter operation time and lower expense than the MED group, and there were significant statistical differences between the 2 groups. In respect of complications, there were 3 patients with dura tears and 5 patients transformed to routine discectomy in MED group, while none in MSLD group. There was no significant difference in the leaving bed time, the hospitalization time and the results of functional evaluation between the 2 groups. Conclusion MSLD is a safer microinvasive operation for lumbar disc herniations resulting in less surgical trauma, lower expense, clearer visual field and better three-dimension vision than MED. |
| Keywords:Lumbar vertebrae Intervertebral disk displacement Diskectomy Surgical procedures, minimally |
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