椎间盘镜下髓核摘除术治疗伴有 Modic 改变的腰椎间盘突出症

椎间盘镜下髓核摘除术治疗伴有 Modic 改变的腰椎间盘突出
症
蒲小兵;周强
【期刊名称】《临床骨科杂志》
【年(卷),期】2014(000)002
【摘要】Objective To assess the efficacy of the microendoscopic discectomy for lumbar disc herniation with Modic change.Methods Sixty patients with lumbar disc herniation showing normal(A group,n=30)or endplate Modic change in their bone marrow (B group,n=30)underwent microendoscopic discectomy were enrolled.The clinical outcomes were compared in terms of the score on visual-analogue scale (VAS)for low back pain and the score on Os-westry disability index (ODI)before and after surgery.Results Compared with preoperation,there were significant difference in postoperative score of VAS and ODI in both groups
(P<0.05 ).There were no significant statistical difference of leg pain between the two groups,however,there were significant difference in postoperative score of ODI and VAS of low back pain in between the two groups (P<0.05 ).Conclusions Modic change has correlation with low back pain and affects the outcomes of treatment of MED for lumar disc herniation.%目的：探讨椎间盘镜下髓核摘除术（MED）治疗伴Modic改变的腰椎间盘突出症的临床疗效。

方法将60例腰椎间盘突出症患者按病变类型分为单纯腰椎间盘突出症组（30例）和伴有Modic改变的腰椎间盘突出症组（30例），
两组患者均行MED治疗并对比疗效。

疗效评定采用疼痛视觉类比评分（VAS）和Oswestry功能障碍指数评分（ODI）。

结果术后两组VAS、ODI评分与术前比较差异有统计学意义（P＜0.05）。

术后两组间腿痛缓解比较差异无统计学意义（P ＞0.05），但ODI及下腰痛VAS评分比较差异有统计学意义（P＜0.05）。

结论腰椎Modic改变与患者术后下腰痛恢复情况密切相关，提示腰椎Modic改变是下腰痛的原因之一，对腰椎间盘镜下髓核摘除术临床疗效有影响。

【总页数】3页(P134-136)
【作者】蒲小兵;周强
【作者单位】解放军第188医院脊柱外科，广东潮州 521000;第三军医大学西南医院骨科，重庆 400038
【正文语种】中文
【中图分类】R681.5;R687.3;R687.1
【相关文献】
1.经皮椎间孔镜下髓核摘除术和显微镜下髓核摘除术治疗腰椎间盘突出症的疗效比较 [J], 郁凯;杨忠;李爱民;李响;朱本清;张殿英
2.经侧后路椎间孔镜下椎间盘髓核摘除术与传统后路椎间开窗髓核摘除术治疗腰椎间盘突出症的手术效果比较 [J], 周凯; 贺中原; 唐可; 权正学
3.经皮椎间孔镜下髓核摘除术与椎板开窗减压髓核摘除术治疗腰椎间盘突出症患者对比研究 [J], 赵明成
4.椎间孔镜下髓核摘除术与椎板开窗髓核摘除术治疗青少年腰椎间盘突出症的疗效比较 [J], 解通
5.经椎间孔椎体间融合术与后路开窗椎间盘髓核摘除术治疗伴终板ModicⅡ型改变腰椎间盘突出症的价值 [J], 李欣;王旭东
因版权原因，仅展示原文概要，查看原文内容请购买。