| 腰椎间盘突出症单纯髓核摘除的疗效分析 |
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投稿时间：2008-10-07
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| 作者 | Author | 单位 | Address | E-Mail |
| 俞雷钧 |
YU Lei-jun |
浙江省立同德医院骨伤科,浙江 杭州 310012 |
Department of Orthopaedics and Traumatology,Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang,China |
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| 宋红浦 |
SONG Hong-pu |
浙江省立同德医院骨伤科,浙江 杭州 310012 |
Department of Orthopaedics and Traumatology,Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang,China |
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| 张春 |
ZHANG Chun |
浙江省立同德医院骨伤科,浙江 杭州 310012 |
Department of Orthopaedics and Traumatology,Tongde Hospital of Zhejiang Province,Hangzhou 310012,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第4期，第249-250页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
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5 cm,椎板开窗为2 cm×2 cm,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5 mg,连用3 d,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SPSS 10.0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。 |
| 【关键词】椎间盘移位 腰椎 外科手术 椎间盘切除术 |
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| Analysis of curative effect of discectomy for lumbar intervertebral disc herniation |
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ABSTRACT
Objective: 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 operation),308 cases obtained excellent result,48 good,fair 24,the excellent and good rate was 93.7%. Three hundred and forty-eight 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 lapse. |
| KEY WORDS Intervertebral disk displacement Lumbar vertebrae Surgical procedures,operative Discectomy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 俞雷钧,宋红浦,张春.腰椎间盘突出症单纯髓核摘除的疗效分析[J].中国骨伤,2009,22(4):249~250 |
| 英文格式: | YU Lei-jun,SONG Hong-pu,ZHANG Chun.Analysis of curative effect of discectomy for lumbar intervertebral disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(4):249~250 |
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