| 显微内窥镜下腰椎间盘摘除和传统开放手术治疗腰椎间盘突出症的Meta分析 |
| Alternative Title | MED versus open lumbar disectomy for lumbar disc herniation: A Meta-analysis
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| 舍炜 |
| Thesis Advisor | 陈根元
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| 2011-05-19
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | 腰椎间盘突出症
显微内窥镜
开放手术
Meta分析
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| Abstract | 目的 对显微内窥镜下腰椎间盘摘除术(MED)和传统开放手术(OLD)治疗腰椎间盘突出症的手术疗效及临床价值进行评价。
方法 按照Cochrane系统评价的方法,计算机检索Medline(1990年至2010年3月)、Embase(1990年至2010年3月)、Cochrane图书馆及中国生物医学数据库(1990年至2010年3月),并采用手工检索等方法收集会议文献。文献检索无语种限制。收集所有相关随机对照试验,采用Cochrane协作网提供的软件Revman 5.0进行Meta分析,以获得显微内窥镜下腰椎间盘摘除术和开放手术治疗腰椎间盘突出症的疗效是否有差异的相关证据。
结果 共纳入12个研究，包括1748例腰椎间盘突出症患者。进行Meta分析结果显示，显微内窥镜手术的手术操作时间与传统开放手术无明显差异，但在术中出血量、术后卧床时间和术后住院时间上优于传统开放手术。
结论 显微内窥镜手术是一种治疗腰椎间盘突出症的理想的微创手术方式。 |
| Other Abstract | Objective To compare the surgical outcome and investigate the clinical value between microendoscopy discectomy and opened lumbar disectomy in the treatment of lumbar disc herniation.
Methods We searched PubMed, EMbase, SCI, The Cochrane Library, Chinese Biomedical Literature Database, China Journal Full Text Database, Chinese Medical Association Journals, and references of the included studies up to March 2010. Using the Cochrane Collaboration guidelines, all randomized controlled trials comparing opened lumbar disectomy and microendoscopy discectomy were systematically reviewed. Data were extracted and methodological quality were evaluated by two reviewers independently with designed extraction form. The Cochrane Collaboration’s RevMan 5.0.1 software was used for data analyses.
Results A total of 12 studies involving 1748 patients were included. The results of meta-analyses showed that compared microendoscopy discectomy with opened lumbar disectomy, No statistically significant differences were found between two disectomies in the treatment outcome and the operation time; microendoscopy discectomy are superior to opened lumbar disectomy in intraoperative blood loss,the time in hospital and the time out of bed after operration.
Conclusion Microendoscopy discectomy is ideal minimally invasive surgical method to treat lumbar disc herniation . |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/222515
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
舍炜. 显微内窥镜下腰椎间盘摘除和传统开放手术治疗腰椎间盘突出症的Meta分析[D]. 兰州. 兰州大学,2011.
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