| 影响APLD疗效相关因素的研究 |
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Received:April 22, 2002
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| 期刊信息：《中国骨伤》2002年15卷，第11期，第647-649页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:湖北省教育厅2000年科研基金(编号:2000B14022) |
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目的:研究影响自动式经皮穿刺腰椎间盘切除术(APLD)治疗腰椎间盘突出症疗效的相关因素。
方法:对146例腰椎间盘突出症行APLD治疗并观察其疗效,分析影响术前、术中及术后疗效的因素。
结果:疗效与适应症的选择有密切关系;与病程长短无明显统计学差异(P>0.05);与椎间盘切除量呈抛物线改变;椎间盘的切除部位与发病年龄有一定的关系;术后适时、适度牵引治疗有助于APLD疗效的提高。
结论:适应症选择是提高疗效关键因素之一;椎间盘的切除量以2～35g为最佳;35岁以内椎间盘切除部位与疗效关系不明显,而大于35岁切除部位偏中后为佳;术后2～4周再行牵引治疗有助于疗效的提高。 |
| [关键词]:椎间盘移位 腰椎 椎间盘切除术 |
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| To study the related factors affecting the therapeutic effect of Auto Percutaneous Lumbar Discectomy |
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Abstract:
Objective:To study the related factors affecting the therapeutic effect of Auto Percutaneous Lumbar Diskectomy(APLD)
Methods:146 cases of lumbar disc herniation were treated with APLD and observations were made on the related factors affecting the therapeutic effect.
Results:The therapeutic effect were in close association with the selection of the right indication;the course of the illness did not affect the final results (P>0 05).The long or shore of the relation between therapeutic effect and the amount of removed disc material demonstrated a parabola curve.The sites of disc removal bore some relationship with the age of patients.Proper timely traction was able to improve the therapeutic result of APLD.
Conclusion: The choice of indication is one of the critical factors.The properly excised amount of disc material should be 2 to 3.5 grams.The site of excision in patients under 35 years of age bears no significant difference to the therapeutic effect;however,in those over 35,it is better to remove the central and the posterior part.Traction for 2～4 weeks after operations helps to improve the therapeutic effect. |
| KEYWORDS:Intervertebral disc displacement Lumbar vertebrae Intervertebral 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: | 李红,郑之和,周义成,周承贵,张在沛.影响APLD疗效相关因素的研究[J].中国骨伤,2002,15(11):647~649 |
| 英文格式: | Li Hong,Zheng Zhi he,ZHOU Yu cheng.To study the related factors affecting the therapeutic effect of Auto Percutaneous Lumbar Discectomy[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(11):647~649 |
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