摘要
目的:探讨单纯髓核摘除治疗腰椎间盘突出症的近、远期疗效。方法:行腰椎间盘突出症单纯髓核摘除手术治疗的病例400例,男220例,女180例;年龄16～73岁,平均43.3岁。采用后路小切口开窗法,切口小于5cm,椎板开窗为2cm×2cm,髓核摘除后,常规探查神经根管并予以扩大减压。术后常规用地塞米松5mg,连用3d,并指导患者功能锻炼,定期随访。结果:近期随访(术后2年以内)380例,优308例,良48例,差24例,优良率93.7%;远期随访(术后3年以上)348例,优244例,良48例,差56例,优良率83.9%。近、远期疗效优良率经SPSS10.0统计软件分析,差异有统计学意义(P<0.05)。结论:单纯髓核摘除手术治疗腰椎间盘突出症的疗效随着时间的推移具有下降趋势。
To evaluate the short and long term results of discectomy for lumbar intervertebral disc herniation. Methods： From 2000 to 2007,400 patients （male 220 and female 180, the age was from 16 to 73 years old with an average of 42.3 years）with lumbar intervertebral disc herniation underwent discectomy by posterior mini-incision less than 5 cm and vertebrae plate was ectomized in 2 cm^2 cm winder, and nerve root was compressied. The short and long term clinical result were analyzed with SPSS 10.0 software. Results ：Three hundred and eighty patients were followed up in the short term （less than 2 years after op- eration）, 308 cases obtained excellent result, 48 good, fair 24, the excellent and good rate was 93.7%. Three hundred and fortyeight patients were followed up in the long term （more than 3 years after operation ）, 244 cases obtained excellent result, 48 good, fair 56 ,the excellent and good rate was 83.9%. There was significant difference in follow-up between the short and long term （P〈 0.05 ）. Conclusion： The clinical effect of discectomy for lumbar intervertebral disc herniation decreased with time laose.
出处
《中国骨伤》
CAS
2009年第4期249-250,共2页
China Journal of Orthopaedics and Traumatology
关键词
椎间盘移位
腰椎
外科手术
椎间盘切除术
Intervertebral disk displacement
Lumbar vertebrae
Surgical procedures,operative
Discectomy
