国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
21期
2627-2629
,共3页
椎板开窗髓核摘除术%腰椎间盘突出症%远期疗效
椎闆開窗髓覈摘除術%腰椎間盤突齣癥%遠期療效
추판개창수핵적제술%요추간반돌출증%원기료효
Laminectomy with discectomy%Lumbar disc herniation%Long-term efficacy
目的 探讨椎板开窗髓核摘除术在腰椎间盘突出症治疗中的远期疗效.方法 对本院收治的64例腰椎间盘突出症患者进行椎板开窗髓核摘除术的治疗,开窗大小约为1.5 cm×1.5 cm,术后常规抗感染治疗和功能恢复训练,随访3年以上,对患者的近、远期疗效进行分析记录,并对不同病理分型患者远期疗效进行分析.结果 患者远期疗效优良率为75.0％,近期疗效优良率为90.6％,远期疗效明显差于近期疗效(P＜0.05)；不同病理类型中,Ⅳ型远期疗效最好,为92.9％,Ⅱ型远期疗效为83.3％,Ⅲ型为75.0％,I型最差为62.5％.结论 椎板开窗髓核摘除术患者随着时间的推移,其疗效逐渐下降；对于椎间盘髓核突出较大,纤维环破损较小患者的远期疗效比较好.
目的 探討椎闆開窗髓覈摘除術在腰椎間盤突齣癥治療中的遠期療效.方法 對本院收治的64例腰椎間盤突齣癥患者進行椎闆開窗髓覈摘除術的治療,開窗大小約為1.5 cm×1.5 cm,術後常規抗感染治療和功能恢複訓練,隨訪3年以上,對患者的近、遠期療效進行分析記錄,併對不同病理分型患者遠期療效進行分析.結果 患者遠期療效優良率為75.0％,近期療效優良率為90.6％,遠期療效明顯差于近期療效(P＜0.05)；不同病理類型中,Ⅳ型遠期療效最好,為92.9％,Ⅱ型遠期療效為83.3％,Ⅲ型為75.0％,I型最差為62.5％.結論 椎闆開窗髓覈摘除術患者隨著時間的推移,其療效逐漸下降；對于椎間盤髓覈突齣較大,纖維環破損較小患者的遠期療效比較好.
목적 탐토추판개창수핵적제술재요추간반돌출증치료중적원기료효.방법 대본원수치적64례요추간반돌출증환자진행추판개창수핵적제술적치료,개창대소약위1.5 cm×1.5 cm,술후상규항감염치료화공능회복훈련,수방3년이상,대환자적근、원기료효진행분석기록,병대불동병리분형환자원기료효진행분석.결과 환자원기료효우량솔위75.0％,근기료효우량솔위90.6％,원기료효명현차우근기료효(P＜0.05)；불동병리류형중,Ⅳ형원기료효최호,위92.9％,Ⅱ형원기료효위83.3％,Ⅲ형위75.0％,I형최차위62.5％.결론 추판개창수핵적제술환자수착시간적추이,기료효축점하강；대우추간반수핵돌출교대,섬유배파손교소환자적원기료효비교호.
Objective To explore the long-term efficacy of laminectomy with discectomy in the treatment of lumbar disc herniation.Methods 64 patients with lumbar disc herniation underwent laminectomy with discectomy,with a window of 1.5 cm × 1.5 cm in size.All the patients received conventional antibiotic therapy and training for functional recovery and were followed up for more than 3 years.The shortand long-term efficacies were recorded,and the long-term efficacy was analyzed in patients with different pathological types.Results The long-term efficacy was significantly worse than the short-term efficacy ( 75.0％ vs.90.6％ for the satisfactory rate of the efficacy,P ＜ 0.05 ).The long-term efficacy was best in type Ⅳ ( 92.9％ ),followed by type II ( 83.3％ ) and type Ⅲ ( 75.0％ ),and was worst in type I ( 62.5％ ).Conclusions The efficacy of laminectomy with discectomy decreases with time.In the patients with greater prominent nucleus pulposus and less damaged annulus fibrosus,the long-term efficacy is better.
