Clinical research on effect of microendoscopic discectomy through posterior approach in old patients with multilevel lumber spinal stenosis and its influence factors
10.3969/j.issn.1671-8348.2013.35.010
- VernacularTitle:后路椎间盘镜治疗老年腰椎管狭窄症中的应用及相关影响因素研究
- Author:
Huafeng SUN
;
Wenbin WANG
;
Yongjiu WANG
- Publication Type:Journal Article
- Keywords:
endoscopy;
lumber vertebrae;
factor analysis,statistical
- From:
Chongqing Medicine
2013;(35):4257-4259
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of microendoscopic discectomy through posterior approach in old patients with multilevel lumber spinal stenosis and analyze the influence factors that related to clinical effect .Methods 64 old patients with multilevel lumber spinal stenosis were selected and divided into microendoscopic group and open group based on different operation method ,each group contained 32 patients .Comparison was made between two groups in respects of operation time ,amount of bleed-ing ,hospital time post-operation and Nakai scores .Analyzed the influence factors that related to clinical effect .Results The opera-tion time ,amount of bleeding ,hospital time post-operation in microendoscopic group were lower than open group ,the differences had statistical significance .Based on the Nakei score ,the curative effect in microendoscopic group was slightly lower than open group ,but the differences had no statistical significance .The JOA score pre-operation ,walking distances and complication were rela-tive factors that could influence the clinical effect of microendoscopic discectomy through posterior approach method .Conclusion Microendoscopic discectomy through posterior approach in old patients with multilevel lumber spinal stenosis had quicker postoper-ative recovery than conventional operation ,and the JOA score pre-operation ,walking distances and complication were relative fac-tors that could influence the clinical effect of microendoscopic discectomy through posterior approach method .
