| 后路腰椎间盘镜髓核摘除术的远期疗效 |
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| 引用本文： | 刘建伟,熊波,刘庆宽,成明华,李杰峰. 后路腰椎间盘镜髓核摘除术的远期疗效[J]. 临床骨科杂志, 2010, 13(1): 1-4 |
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| 作者姓名： | 刘建伟 熊波 刘庆宽 成明华 李杰峰 |
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| 作者单位： | 郴州市第一人民医院骨科,湖南,郴州,423000 |
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| 摘 要： | 目的比较MED术与开窗术治疗单节段腰椎间盘突出症的远期疗效。方法对后路单节段腰椎间盘摘除术的39例患者(MED组22例;开窗组17例)进行问卷调查、JOA评分和复查腰椎MRI。在MRI图像上观察并测量手术前后硬膜外压痕的大小、椎间隙的高度、软骨终板的退变以及手术区域信号的改变情况。结果MED组随访(81±8)个月与开窗组随访(73±6)个月的主观评价(满意率、恢复原工作情况、对手术的评价)、客观评价(JOA评分、改善率和优良率)、MRI改变以及并发症比较差异无统计学意义(P0.05)。结论两种手术方式术后长期随访在患者的主观评价、客观评价、MRI改变以及并发症方面没有明显差别。
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| 关 键 词： | 腰椎间盘突出症 显微椎间盘镜 髓核摘除术 磁共振成像 |
Long-term effect of posterior lumbar discectomy and microendoscopic discectomy |
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| LIU Jian-wei,XIONG Bo,LIU Qing-kuan,CHENG Ming-hua,LI Jie-feng. Long-term effect of posterior lumbar discectomy and microendoscopic discectomy[J]. Journal of Clinical Orthopaedics, 2010, 13(1): 1-4 |
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| Authors: | LIU Jian-wei XIONG Bo LIU Qing-kuan CHENG Ming-hua LI Jie-feng |
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| Affiliation: | Dept of Orthopaedics/a>;the First People's Hospital of Chenzhou/a>;Chenzhou/a>;Hunan 423000/a>;China |
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| Abstract: | Objective To investigate the long-term effect of posterior lumbar discectomy and microendoscopic discectomy(MED).Methods Thirty-nine patients who underwent single segment lumbar discectomy were involved,including 22 patients who underwent microendoscopic discectomy and 17 patients who underwent Love method discectomy.The pre-and postoperation conditions were evaluated by using questionnaires and JOA scores.The indentation of the dura,the height of the intervertebral space were measured and the degeneration ... |
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| Keywords: | lumbar disc herniation microendoscopy discectomy magnetic resonance imaging |
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