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《The Journal of Cervicodynia and Lumbodynia》 2010-05
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Retrospective analysis of clinical effects between traditional open discectomy and microendoscopy(MED) for lumbar disc herniation

DAI Shou-da,DONG Xiao-xiong,ZHANG Yun,et al.(Department of Orthopedics,The 86th Hospital of PLA,DangTu Anhui,243100,China)  
Objective To evaluate clinical effects and relating problems of traditional opening lumbar discectomy(group A)and contemporary microendoscopy(MED)(group B)treated lumbar disc herniation.Methods According to clinical manifestation and image results,625 cases of lumbar disc herniation were operated upon with traditional open discectomy,546 cases with MED.Naikai's criteria was used to assess the clinical outcomes,with comparatively analyzing operating time、the volume of blood lose、complications and postoperative recovery time.Results The rate of exellent and good in group A was 94.2%,and group B was 98.3%.There was no significant differences between two groups(P0.05).The mean operating time in group A was 75.6 minutes,and 67.7 minutes in group B,which had no statistical significance(P0.05).There were 8 cases complication in group A,3 cases complication in group B,which had no statistical significance(P0.05).There was significance differences in the volumes of blood lose、postopereting recovery time between two groups(P0.05).Conclusion The clinical outcome of two groups are same satisfactory.The laminectomy discectomy is always main method to treat lumbar disc herniation.being a minimally invasive procedure in spinal surgery,MED has advantage of minimal incision、less blood lose、speed recovery and less damage to posterior column of lumbar spine,but it can't fully replace the convetional discectomy.However,under the condition of masterring the convetional discectomy skill、accurae operation indication and skilled operative procedure are the key to improve outcome and reduce the complication.
【CateGory Index】: R687.3
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