【摘要】 目的探讨后路椎间盘镜术(microendoscopic disscectomy,MED)治疗腰椎间盘突出症并侧隐窝狭窄的临床疗效。方法将腰椎间盘突出症并侧隐窝狭窄患者120例,随机分为观察组与对照组,观察组采用MED治疗,对照组行常规经后路椎板间开窗髓核摘除术治疗,对比2组患者治疗手术各指标、术后恢复及临床疗效,并对比2组患者治疗前、后ODI评分改善情况。结果 2组ODI评分及临床疗效比较无统计学意义(P>0.05);观察组手术切口、术中出血量、手术时间及术后恢复时间均显著低于对照组,组间比较差异有统计学意义(P<0.05)。结论 2种治疗方案均可有效治疗腰椎间盘突出症并侧隐窝狭窄,但MED具有手术切口小,术中出血量少,术后恢复时间快等优点,比常规手术更具优势。更多还原

【Abstract】 Objective To study the therapeutic efficacy of microendoscopic discectomy (MED) in treatment of Lumbar disc herniation with lateral recess stenosis.Methods 120 patients with Lumbar disc herniation with lateral recess stenosis were randomly divided into control group and observation group.MED treatment was performed in observation group.The microendoscopic discectomy was adopted in control group.The operation indexes,rehabilitation outcomes,clinical effects and ODI scores were compared in the two groups before and after surgery.Results There is no significant difference of clinical effect and ODI scores between two groups (P>0.05).The surgical incision,bleeding volume,operative duration and postoperative recovery time in the observation group decreased more significantly that those of control group.There was statistically significant difference between groups (P<0.05).Conclusions Both therapy strategies can be applied in treating protrusion of lumbar intervertebral disc combined lateral recess stenosis.MED therapy far outweighs the conventional treatment in surgical incision,bleeding volume,operative duration and postoperative recovery time.更多还原