完全内镜下经椎板间入路治疗腰椎间盘突出症的对比研究
王冰;陈维华;邝磊;王孝宾;吕国华;李晶;康意军;邓幼文;刘伟东;胡嘉瑞;李磊;陈飞
【期刊名称】《中华外科杂志》 【年(卷),期】2011(049)001
【摘要】Objective To evaluate the minimally invasive efficacy and surgical outcome of fullendonscopic discectomy via interlaminar approach for lumbar disc herniation (LDH). Methods From August 2008 to February 2009, 56 patients with lumbar disc herniation were retrospectively studied. The patients were divided into two groups according to the surgical methods. Full endoscopic discectomy (FED)group included 16 males and 12 females, the age was 20-51 years with a mean (36 ±8) years, and the course of disease was 18-120 d with a mean (68 ±26) days. There was L5-S1 LDH in 22 and L4-5 LDH in 6.Headlamp-assisted mini-open discectomy (HAMOD) group, there were 17 males and 11 females. The age was 17-53 years with an average age of (35 ±9) years, the course of disease was 19-110 d with an average (66 ±24) days, and the herniated disc located at L5-S1 in 15 cases, and L4-5 in 13 cases. Perioperative parameters (operation time, bleeding volume and length of hospital stay ), complications and VAS of leg and back pain (preoperatively, 3 months postoperatively and final follow-up) were statistically analyzed.Results All patients were followed up in both groups, and the average follow-up time of full endoscopic