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老年人腰椎间盘突出症
Hits: 2043   Download times: 1318   Received:August 26, 1999  Revised:January 28, 2000  
作者Author单位UnitE-Mail
张世民 ZHANG Shi min 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
蒋位庄 JIANG Wei zhuang 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
周卫 ZHOU Wei 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
刘昱彰 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
张禄堂 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
李星 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
章永东 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
黎作旭 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
兰吉瑞 中国中医研究院骨伤科研究所,北京100700 Institute of Orthopedics and Traumatology,China Academy of TCM Beijing,100700  
期刊信息:《中国骨伤》2000年13卷,第9期,第529-530页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨老年人腰椎间盘突出症的临床特点和治疗方法。

方法:分析75例老年人腰椎间盘突出症临床症状、体征和影像学(X线、CT、MRI及腰椎管造影)变化特点。

结果:经平均30个月的随访,非手术治疗29例,优良率33.3%,手术治疗46例,优良率90%.

结论:老年人腰椎间盘突出症均为增生狭窄型腰椎间盘突出,突出的方式以破碎游离型为主,手术治疗优于非手术治疗。
[关键词]:椎间盘移位  外科手术  正骨疗法
 
Intervertebral lumbar disc herniation of senile person
Abstract:

Objective:To explore the clinical characteristics and treatment methods of intervertebral lumbar disc herniation (LDH) of senile person.

Methods:The clinical symptoms,signs and typical changes of imaging examinations (X ray,CT,MRI and lumbar spinal canal myelography) of 75 cases of LDH were analysed.Surgical or non surgical treatment methods were adopted according to different types of the lesions.

Results: The average period of follow up was 30 months.Of the 75 cases,29 were treated with surgical method and the excellent and good rate was 33.3%,46 with non surgical method and the excellent rate was 90%.

Conclusion:Most LDH in senile persons are of the type of hyperplasia stenosis and the herniations chiefly assume the piecemeal ruptured features.Surgical treatment is the option for the treatment of LDH of the senile individuals.
KEYWORDS:Intervertebral disk displacement Surgery  operative Bone setting
 
引用本文,请按以下格式著录参考文献:
中文格式:张世民,蒋位庄,周卫,刘昱彰,张禄堂,李星,章永东,黎作旭,兰吉瑞.老年人腰椎间盘突出症[J].中国骨伤,2000,13(9):529~530
英文格式:ZHANG Shi min,JIANG Wei zhuang,ZHOU Wei.Intervertebral lumbar disc herniation of senile person[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(9):529~530
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