| 切吸联合不同溶核疗法治疗腰椎间盘突出症 |
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Received:April 12, 2005
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| 期刊信息：《中国骨伤》2005年18卷，第10期，第593-596页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:分析比较3种不同联合疗法治疗突出型L4,5椎间盘突出症的临床疗效,并观察其不良反应。
方法:本组59例,男36例,女23例;年龄19～69岁,平均(38.18±10.24)岁。将所有病例随机分为3组进行相应治疗切吸+盘内法组(A组)15例,切吸+盘外法组(B组)26例,切吸+盘内外法组(C组)18例。
结果:59例术后进行了4个月以上的随访,近期总优良率72.88%,总有效率96.61%;远期总优良率72.88%,总有效率86.44%。但各组间近、远期疗效差异均无显著性意义(P>0.05)。
结论:以上3种不同联合疗法均是临床治疗突出型腰椎间盘突出的有效方法,且不良反应少。 |
| [关键词]:椎间盘移位 椎间盘切除术,经皮 椎间盘化学溶解术 |
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| Treatment of lumbar intervertebral disc herniation with percutaneous lumbar discectomy and different collagenase injections |
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Abstract:
Objective: To compare and evaluate effects and adverse reaction of three different methods in the treatment of lumbar intervertebral disc herniation.
Methods:Fifty-nine patients of lumbar intervertebral disc herniation,involving 36 cases of male and 23 cases of female with age from 19 to 69 (averagely 38.18±10.24) years,were divided randomly into three groups:Group A in which patients were treated with percutaneous lumbar discectomy and intervertebral disc injection (15 cases);group B,treated with percntaneous lumbar discectomy and epidural injection (26 cases);group C,treated by percntaneous lumbar discectomy,intervertebral disc and epidural injection (18 cases).
Results:All the patients were followed up for more than 4 months.There were no significant difference in near-term and long-term clinical effects among the three different treatments.The total rates of excellent and good clinical effects were the same,i.e.72.88%,in the near-term and the long-term evaluations.The total effective rate was 96.61% in the near-term evaluation,and 86.44% in the long-term evaluation.
Conclusion:The three different methods are effective for lumbar disc herniation,of which adverse reaction is few. |
| KEYWORDS:Intervertebral disk displacement Diskectomy,percutaneous Intervertebral disk chemolysis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 余庆阳,何斌.切吸联合不同溶核疗法治疗腰椎间盘突出症[J].中国骨伤,2005,18(10):593~596 |
| 英文格式: | YU Qing-yang,HE Bin.Treatment of lumbar intervertebral disc herniation with percutaneous lumbar discectomy and different collagenase injections[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(10):593~596 |
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