Kelly R E, Dinner M H, Lavyne M H, Andrews D W
Department of Anesthesiology, Cornell University Medical College, New York, New York.
Spine (Phila Pa 1976). 1993 Feb;18(2):287-90. doi: 10.1097/00007632-199302000-00019.
Preoperative and postoperative pulmonary function and body temperature were measured prospectively in 15 patients undergoing either microlumbar discectomy or standard lumbar laminectomy and discectomy for herniated nucleus pulposus. In these otherwise comparable groups patients undergoing standard lumbar laminectomy and discectomy had significant depression in pulmonary function in the first 20 hours postsurgery and febrile temperatures for as long as 48 hours postsurgery. No alteration in pulmonary function or body temperature was observed in those operated on by the microlumbar discectomy technique. We conclude that patients undergoing microlumbar discectomy for lumbar disc herniation have less postsurgical pulmonary morbidity and temperature elevation than those treated by lumbar laminectomy and discectomy.
前瞻性地测量了15例行微腰椎间盘切除术或标准腰椎椎板切除术及椎间盘切除术治疗椎间盘突出症患者的术前和术后肺功能及体温。在这些其他方面具有可比性的组中，接受标准腰椎椎板切除术及椎间盘切除术的患者在术后20小时内肺功能显著下降，术后发热持续长达48小时。而采用微腰椎间盘切除术技术进行手术的患者未观察到肺功能或体温的变化。我们得出结论，与接受腰椎椎板切除术及椎间盘切除术治疗的患者相比，行微腰椎间盘切除术治疗腰椎间盘突出症的患者术后肺部并发症和体温升高较少。
