廖强

[摘要]目的 探究小切口开窗术治疗腰间盘突出症合并腰椎管狭窄的临床效果。方法 选取2016年11月～2017年11月我院收治的82例腰间盘突出症合并腰椎管狭窄患者，采用随机数字表法将其分为参照组、研究组，每组 41例。参照组采用常规治疗方法，研究组行小切口开窗术治疗，将两组治疗后的总有效率、VAS及JOA评分实施对比分析。结果 研究组患者的治疗总有效率明显高于参照组，差异有统计学意义（P<0.05）。研究组患者的VAS评分低于参照组，且JOA评分高于参照组，差异均有统计学意义（P<0.05）。结论 同常规治疗方式比较，对腰间盘突出症合并腰椎管狭窄患者来讲，小切口开窗术，可以起到更好的治疗效果，腰椎神经恢复速度更快、疼痛度更低。

[关键词]小切口开窗术；腰间盘突出；腰椎管狹窄；临床研究

[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-4721（2018）5（a）-0098-03

[Abstract]Objective To investigate the clinical effect of small incision fenestration in the treatment of lumbar disc herniation with lumbar spinal stenosis.Methods From November 2016 to November 2017，82 patients with lumbar disc herniation combined with lumbar spinal stenosis were selected and randomly divided into reference group and study group，41 cases in each group.The control group was treated with conventional treatment and the study group was treated with small incision fenestration.the total effective rate，VAS and JOA scores of the two groups were compared and analyzed.Results The total effectiveness rate of treatment group was significantly higher than that of the reference group，the difference was statistically significant （P<0.05）.The VAS score in the study group was lower，and the JOA score was higher compared with those in the reference group with statistical significance，the differences were statistically significant （P<0.05）.Conclusion Compared with the conventional treatment，for patients with lumbar disc herniation complicated with lumbar spinal stenosis，the small incision fenestration has a better therapeutic effect with a faster recovery of lumbar nerve and milder pain.

[Key words]Small incision fenestration；Lumbar disc herniation；Lumbar spinal stenosis；Clinical study

腰间盘突出症合并腰椎管狭窄，属于当前临床病症中，较为常见的类型，且该疾病在近些年，发病率呈现逐年升高的发展趋势。该疾病临床表现为：活动受限制、疼痛感强烈等。患有此疾病后，患者的日常生活行为、活动、质量等，都会受到极大的影响，多应用椎板切除术实施治疗，但是术后极易出现瘢痕粘连等并发生，影响术后恢复。而小切口开窗术是一种外科微创技术，手术造成的切口小，更利于术后恢复。本次研究选取我院纳入的82例腰间盘突出症合并腰椎管狭窄患者，将两组获取的临床治疗效果实施对比分析，现报道如下。

1资料与方法

1.1一般资料

选取2016年11月～2017年11月我院收治的82例腰间盘突出症合并腰椎管狭窄患者，采用随机数字表法将其分为参照组、研究组，每组 41例。参照组中，男23例，女18例；年龄22～66岁，平均（42.5±2.3）岁；病程6个月～8年，平均（5.3±0.4）年。研究组中，男25例，女16例；年龄25～70岁，平均（46.2±3.4）岁；……