| 腰椎间盘突出症的分型及其临床意义 |
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Received:December 10, 1999
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张禄堂 |
ZHANG Lu tang |
中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 李星 |
LI Xing |
中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 张世民 |
ZHANG Shi min |
中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 章永东 |
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中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 周卫 |
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中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 黎作旭 |
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中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 刘昱彰 |
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中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 兰吉瑞 |
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中国中医研究院望京医院,北京100102 |
Wangjing Hospital,China Academy of Traditional Chinese Medicine Beijing,100102 |
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| 期刊信息：《中国骨伤》2000年13卷，第5期，第259-261页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:对腰椎间盘突出症就蒋氏分类及其临床意义进行讨论。
方法:根据腰椎间盘各组成部分及不同阶段的病理变化;从椎间盘到关节突关节,从软组织到骨结构,从青少年到中老年的病理特点,将椎间盘突出症分为软骨板破裂、弹力、退变失稳和增生狭窄四型。对396例不同类型的治疗结果进行分析。
结果:从294例非手术治疗表明,弹力型优良率达92.65%,增生狭窄型为57.50%,两者有显着性差异(P<0.05).手术治疗102例,优良率为9216%.
结论:弹力型大多数可通过非手术达到满意结果,增生狭窄、软骨板破裂晚期以手术治疗为主。 |
| [关键词]:椎间盘突出 腰 治疗效果 分类法 |
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| The Classification into Different Types of Prolapsed Lumbar Intervertebral Disc |
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Abstract:
Objective:To investigate the classification into different types of prolapsed lumbar interventebral disc(PLID) and its clinical significance
Methods:Based on the fundamental analysis of the special pathological features of PLID in the adolescence,the middle aged and the elderly,as well as the structural changes in the intervertebral disc,including the soft and the osseous tissue,the authors classified the lesions of PLID into four different types:1 The ruptured annulous fibrosus type 2 The elastic protrusion of the intervertebral disc 3 The degenerated and the unstable PLID and 4 The hypertrophied lesion with spinal stenosis A total of 396 cases of the different types were reviewed
Results:Among the 294 cases undergone conservative management,the elastic protrution type had excellent results in 92.65%,while in the hypertrophied and the stenosis group,the rate was 57.50%,demonstrating a significant difference ( P<0.05) One hundred and two cases were treated with surgery and the excellent rate was 92.16%.
Conclusion:Mostly the elastic protruded lesions can be effectively treated with conservative means and for the hyopertrophied lesions with spinal stenosis,and those with ruptured annulus fibrosus of the late stage,surgical treatment is the chief option. |
| KEYWORDS:Intervertebral disk displacement lumbar Treatment effectiveness Classification |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张禄堂,李星,张世民,章永东,周卫,黎作旭,刘昱彰,兰吉瑞.腰椎间盘突出症的分型及其临床意义[J].中国骨伤,2000,13(5):259~261 |
| 英文格式: | ZHANG Lu tang,LI Xing,ZHANG Shi min.The Classification into Different Types of Prolapsed Lumbar Intervertebral Disc[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(5):259~261 |
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