两种方法治疗腰椎间盘突出症的对比性研究

目的对椎间盘镜术(MED)与胶原酶溶核术(CCNL)两种不同方法治疗腰椎间盘突出症(LDH)的疗效进行比较。方法根据LDH的诊断标准选择121例患者,其中MED组56例,CCNL组65例。采用统一的疗效评定标准,对两组病人术后1周及随访3个月的疗效进行评判。结果术后1周MED组的有效率(91.1%)明显大于CCNL组(78.5%),差异非常显著(P<0.01);随访3个月后MED组的有效率(92.9%)也同样高于CCNL组,差异有统计学意义(P<0.05)。结论CCNL治疗LDH的疗效较MED差,但具有简单方便,损伤小等优点。

A comparative study about curative effect of two different therapies to the lumbar disc herniation

Objective Comparing curative effect of posterior microendoscopy discectomy (MED)and collagenase chemonucleolysis(CCNL)to lumbar disc herniation(LDH).Method Selecting 121patients according to the diagnosis critera of LDH,56patients were treated by MED and 65patients were tr eated by CCNL.Two groups were used th e same critera in judging curative effect after operating a week and followed three months.Result There were 91.1%effective rate in MED and 78.5%effective rate in CCNL aft er operating one week,and there was a more significant differe nce between MED and CCNL.There were 92.9%effective rate in MED and 86.2%e ffective rate in CCNL after following three months,and th ere was also a significant difference between two groups.Conclusion There was more effective in MED than that in CCNL,but CCNL has some ad vantage including technique simple,less injury and easy stuying.