青少年腰椎间盘突出症个性化微创治疗策略的临床研究(1)
[摘要] 目的 研究个性化微创治疗青少年腰椎间盘突出症的临床效果。 方法 收集我院自2015年6月～2017年1月收治的青少年腰椎间盘突出症患者84例，按随机数字表法分为观察组与对照组，各42例。对照组给予传统开放手术治疗，观察组则给予微创椎间孔镜技术治疗，两组术后均给予超微粉碎“消痹止痛散”穴位热敷加贴敷行辅助治疗。对比两组切口长度、手术时间、术中出血量、卧床时间以及住院時间等术中及术后一般情况，比较两组疼痛状况和并发症情况。 结果 两组手术时间比较差异无统计学意义(P>0.05)，观察组术中出血量、切口长度、卧床时间及住院时间等指标均明显优于对照组(P<0.05)；治疗前，组间VAS评分、JOA评分比较差异无统计学意义(P>0.05)；治疗后，两组患者的VAS评分和JOA评分均改善，且观察组改善效果更佳，差异有统计学意义(P<0.05)，观察组治疗总有效率显著高于对照组(P<0.05)；观察组术后并发症发生率明显低于对照组(P<0.05)。 结论 针对青少年腰椎间盘突出症患者，给予微创椎间孔镜技术治疗，疗效确切，对患者创伤小，术后恢复快，具有较高的推广价值。
[关键词] 青少年；腰椎间盘突出症；微创；消痹止痛散
[中图分类号] R681.5 [文献标识码] B [文章编号] 1673-9701(2017)31-0062-03
[Abstract] Objective To study the clinical effect of personalized minimally invasive treatment of lumbar disc herniation in adolescents. Methods 84 adolescents with lumbar disc herniation admitted in our hospital from June 2015 to January 2017 were divided into observation group(n=24)and control group(n=24)according to random number table method. The control group was treated with traditional open surgery. The observation group was treated with minimally invasive intervertebral foramen treatment. The two groups were given ultrafine grinding "Xiaobi Zhitong powder" acupuncture point hot compress and paste adjuvant therapy after surgery. The intraoperative and postoperative general situation of incision length， operation time， intraoperative blood loss， the bedridden time and length of stay between the two groups were compared. And the pain and complications between the two groups were compared. Results There was no significant difference between the two groups in the operation time(P>0.05). The intraoperative blood loss， incision length， bedridden time and hospitalization time were significantly better in the observation than those in the control group(P<0.05). There were no statistically significant differences in VAS score and JOA score between the two groups(P>0.05). After treatment， the scores of VAS and JOA in the two groups were improved， and the observation group improved better，The difference was statistically significant between the two groups(P<0.05). The total effective rate of the observation group was significantly higher than that of the control group(P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion For young patients with lumbar disc herniation， the minimally invasive intervertebral foramen treatment is effective， which has small trauma to patients and rapid postoperative recovery， and has high promotional value., 百拇医药(刘志安 戈才华 曾宪辉)
[关键词] 青少年；腰椎间盘突出症；微创；消痹止痛散
[中图分类号] R681.5 [文献标识码] B [文章编号] 1673-9701(2017)31-0062-03
[Abstract] Objective To study the clinical effect of personalized minimally invasive treatment of lumbar disc herniation in adolescents. Methods 84 adolescents with lumbar disc herniation admitted in our hospital from June 2015 to January 2017 were divided into observation group(n=24)and control group(n=24)according to random number table method. The control group was treated with traditional open surgery. The observation group was treated with minimally invasive intervertebral foramen treatment. The two groups were given ultrafine grinding "Xiaobi Zhitong powder" acupuncture point hot compress and paste adjuvant therapy after surgery. The intraoperative and postoperative general situation of incision length， operation time， intraoperative blood loss， the bedridden time and length of stay between the two groups were compared. And the pain and complications between the two groups were compared. Results There was no significant difference between the two groups in the operation time(P>0.05). The intraoperative blood loss， incision length， bedridden time and hospitalization time were significantly better in the observation than those in the control group(P<0.05). There were no statistically significant differences in VAS score and JOA score between the two groups(P>0.05). After treatment， the scores of VAS and JOA in the two groups were improved， and the observation group improved better，The difference was statistically significant between the two groups(P<0.05). The total effective rate of the observation group was significantly higher than that of the control group(P<0.05). The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05). Conclusion For young patients with lumbar disc herniation， the minimally invasive intervertebral foramen treatment is effective， which has small trauma to patients and rapid postoperative recovery， and has high promotional value., 百拇医药(刘志安 戈才华 曾宪辉)