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小切口开窗术治疗腰椎管狭窄合并腰椎间盘突出症的临床疗效分析
作者:杨安庆?候光军?李亮?
单位:(河南省安阳市安阳县第三人民医院骨科?安阳?455133)?
关键词:小切口开窗术?腰椎管狭窄?腰椎间盘突出?腰椎神经功能?
分类号:R681.5+3
出版年,卷(期):页码:2019,47(6):440-443
摘要:

目的 对小切口开窗术治疗腰椎管狭窄合并腰椎间盘突出症的治疗效果进行分析。方法 从2017年2月至2018年2月期间接受治疗的腰椎管狭窄合并腰椎间盘突出症的患者中,选取80例进行回顾性分析,按照治疗方法不同分为对照组(40例)和观察组(40例),前者采用传统治疗方法,后者采用小切口开窗术治疗,对比两组的治疗效果。结果 观察组的手术时间、住院时间短于对照组,出血量少于对照组,而疼痛程度轻于对照组,JOA评分优于对照组,且治疗总有效率显着高于对照组,组间比较差异有统计学意义(P<0.05或<0.01)。结论 对于腰椎管狭窄合并腰椎间盘突出症的患者,采用小切口开窗术治疗有助于减轻患者的痛苦,促进术后恢复,提高治疗效果,值得临床上推广运用。
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Objective To analyze the therapeutic effect of small incision fenestration in the treatment of lumbar spinal stenosis with lumbar disc herniation.Methods From patients with lumbar spinal stenosis complicated with lumbar disc herniation who were treated from February 2017 to February 2018,80 cases were selected and analyzed retrospectively.They were divided into control group(40 cases) and observation group(40 cases) according to different treatment methods,the former group were treated by traditional method,while the latter group were treated by small incision fenestration.And then,the treatment effects of the two groups were compared.Results The operation time and hospitalization time of the observation group were shorter than those of the control group,the amount of bleeding was less than that of the control group,the degree of pain was less severe than that of the control group,the JOA score of the observation group was better than that of the control group,and the total effective rate of the treatment was significantly higher than that of the control group,difference between the two groups was statistically significant(P<0.05 or 0.01).Conclusion Small incision fenestration is helpful to alleviate the pain of patients with lumbar spinal stenosis complicated with lumbar disc herniation,promote the recovery after operation and improve the therapeutic effect,which is worthy of clinical application.

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