[1]李永刚,韦继南,陆军,等.椎间盘镜下髓核摘除术和经皮椎间盘切吸术治疗单节段中央型椎间盘突出症的远期疗效比较[J].介入放射学杂志,2012,(01):40-44.
　LI Yong-gang,WEI Ji-nan,LU Jun,et al.The long-term therapeutic effect of central lumbar intervertebral disc herniation: a comparison between microendoscopy discectomy and percutaneous lumbar discectomy[J].journal interventional radiology,2012,(01):40-44.
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椎间盘镜下髓核摘除术和经皮椎间盘切吸术治疗单节段中央型椎间盘突出症的远期疗效比较()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年01期
页码:
40-44
栏目:
非血管介入
出版日期:
2012-01-30

文章信息/Info

Title:
The long-term therapeutic effect of central lumbar intervertebral disc herniation: a comparison between microendoscopy discectomy and percutaneous lumbar discectomy
作者:
李永刚; 韦继南; 陆军; 王宸; 吴小涛; 何仕诚; 滕皋军
210009  南京东南大学附属中大医院骨科
Author(s):
 LI Yong-gang;  WEI Ji-nan;  LU Jun;  WANG Chen;  WU Xiao-tao;  HE Shi-cheng;  TENG Gao-jun.
 Department of Osteologia, the Affiliated Zhongda Hospital, Southeast University, Nanjing, Jiangsu Province 210009, China
关键词:
 ; 【关键词】 腰椎间盘突出;  椎间盘镜下髓核摘除术;  经皮椎间盘切吸术;  远期疗效
文献标志码:
A
摘要:
 【摘要】 目的 比较椎间盘镜下髓核摘除术(MED)与经皮椎间盘切吸术(PLD)治疗中央型腰椎间盘突出症的适应证。远期疗效及并发症,探讨两种术式的临床应用优势。方法 回顾性分析2000年1月至2002年3月行手术治疗的单节段中央型腰椎间盘突出症患者,其中应用MED治疗23例,应用PLD治疗40例,分别比较两组手术适应证范围,病变节段,手术时间和出血量,术后卧床时间,术后住院时间,Oswestry功能障碍指数(oswestry disability index, ODI)及MacNab评分。用配对t检验κ检验及Fisher精确概率法等方法进行统计学分析。结果 MED组平均随访时间为(5.1 ± 0.6)年,PLD组平均随访期为(6.6 ± 0.7)年。MED组的远期ODI、MacNab评分要好于PLD组,而MED组的住院时间、住院费用则明显长于或多于后者,两组比较差异有统计学意义;远期并发症发生率分别为MED组3.49%,PLD组未出现手术相关并发症。结论 MED及PLD治疗腰椎间盘突出症均具有创伤小、恢复快、长期疗效好的特点,PLD临床普及率广,而MED相对学习曲线长,技术要求较高,手术风险较大,但MED的临床远期疗效高于PLD。

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备注/Memo

备注/Memo:
 (收稿日期:2011-05-20)
更新日期/Last Update: