【摘要】 目的观察分析经皮激光椎间盘汽化术与椎间盘摘除术治疗腰椎间盘突出症临床效果。方法选取2015年9~10月接诊的80例腰椎间盘突出症患者进行研究,按照随机数字表法将其分为研究组和对照组,两组各40例。研究组采用经皮激光椎间盘汽化(减压)术,对照组采用经皮椎间盘摘除术。记录两组手术前后患者视觉模拟评分(VAS)、直腿抬高(SLRT)值,近期远期疗效以及并发症发生情况,并对研究结果进行分析比较。结果术前,两组患者的VAS值、SLRT度数比较,差异均无统计学意义(P>0.05);术后,两组患者的VAS值、SLRT度数与术前比较,均有所下降(P<0.05);术后,两组患者的VAS值以及SLRT度数比较,差异无统计学意义(P>0.05);研究组的近期疗效优良率为80.00%,对照组的的优良率为72.50%,差异无统计学意义(P>0.05);研究组的远期疗效优良率为97.50%,高于对照组的优良率85.00%,差异具有统计学意义(P<0.05);研究组并发症发生率2.5%,低于对照组的并发症发生率18.75%,差异具有统计学意义(P<0.05)。结论经皮激光椎间盘汽化(减压)术与经皮椎间盘摘除术均对治疗椎间盘突出症患者均安全有效,但经皮激光椎间盘汽化(减压)术手术操作简便,并发症发生率低,远期疗效显著,值得临床上推广。更多还原

【Abstract】 Objective To compared the clinical effect of percutaneous laser disc vaporization technique and discectomy of lumbar disc herniation,and to explore its treatment methods and efficacy. Methods 80 patients with lumbar disc herniation from September to October 2015 admissions were studied,they were randomly divided into the study group and the control group,40 patients in each group. The study group were treated with percutaneous laser disc gasification surgery and the control group were treated with discectomy treatment. Compared and observed the VAS,SLRT value records,recent forward curative effect and complications in the two groups before and after surgery. Results Preoperative,VAS values,SLRT degree of two groups patients were compared,there was no statistically significant difference( P > 0. 05). After surgery,VAS values,SLRT degree of the two groups were decreased,compared with the preoperative with statistically significant difference( P < 0. 05). VAS values,SLRT degree of the two groups had no significant difference( P > 0. 05). The short-term efficacy of the study group was 80. 00%,the control group was 72. 50 %,the difference was not statistically significant( P > 0. 05). The long-term efficacy in the study group was 97. 50%,the control group was 85. 00 %,the difference was statistically significant( P < 0. 05). The incidence of complications in the study group was2. 5 %,the incidence of complications in the control group was 18. 75%,the difference was statistically significant( P < 0. 05). Conclusion Percutaneous Laser Disc gasification and discectomy surgery for the treatment of disc herniation were safe and effective,but the operation of percutaneous laser disc gasification surgery is quick and easy to perform,pain degree of patients is small,and advantages of the long-term curative effect is distinct,it is worth popularizing clinically.更多还原