椎间孔镜下髓核摘除联合纤维环缝合治疗腰椎间盘突出症的疗效观察

椎间孔镜下髓核摘除联合纤维环缝合治疗腰椎间盘突出症的疗效观察【摘要】目的：探讨椎间孔镜下髓核摘除联合纤维环缝合治疗腰椎间盘突出症的临床疗效。方法：选取我院2015年3月至2018年4月期间收治的腰椎间盘突出症患者60例，随机分为两组，对照组和实验组各30例。对照组采用常规开放手术进行治疗，实验组则采用椎间孔镜下髓核摘除联合纤维环缝合技术进行治疗。比较两组患者的手术时间、术后疼痛评分、神经功能恢复情况以及复发率等指标。结果：实验组患者在手术时间、术后疼痛评分、神经功能恢复情况等方面均优于对照组，且复发率较低。结论：椎间孔镜下髓核摘除联合纤维环缝合技术是一种安全有效的治疗腰椎间盘突出症的方法，值得在临床上推广应用。【关键词】椎间孔镜；髓核摘除；纤维环缝合；腰椎间盘突出症【Abstract】Objective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.【Keywords】Lumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpostoperativepainscore,betterneurologicalrecoveryandlowerrecurrenceratethanthecontrolgroup.Conclusion:Lumbardiscectomycombinedwithfibrinsealantisasafeandeffectivetreatmentmethodforlumbardischerniation,whichshouldbewidelyusedinclinicalpractice.銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怟eywords銆慭nLumbarintervertebralspace;Discectomy;Fibrinsealant;Lumbardischerniation銆怉bstract銆慭nObjective:Toinvestigatetheclinicalefficacyoflumbardischerniationtreatedbylumbardiscectomycombinedwithfibrinsealant.Methods:FromMarch2015toApril2018,atotalof60patientswithlumbardischerniationwereselectedandrandomlydividedintotwogroups,30casesineachgroup.Thecontrolgroupwastreatedwithconventionalopensurgery,whiletheexperimentalgroupwastreatedwithlumbardiscectomycombinedwithfibrinsealant.Thesurgicaltime,postoperativepainscore,neurologicalrecoveryandrecurrenceratewerecomparedbetweenthetwogroups.Results:Theexperimentalgrouphadshorteroperationtime,lowerpos