CAJ | 학술논문

目的：观察椎间盘摘除联合外侧融合术治疗再发性腰椎间盘突出的临床疗效。方法200例腰椎间盘突出患者根据腰椎有无失稳分为研究组和对照组各100例。对照组患者100例术前无腰椎失稳、退变性滑脱，研究组患者100例合并腰椎失稳、退变性滑脱或椎管狭窄，对照组给予患者椎间盘摘除术治疗，研究组患者给予椎间盘摘除联合外侧融合术治疗，应用JOA、ODI、LBOS、VAS评分表进行评分并记录手术优良率。结果2组患者治疗后JOA、ODI、LBOS、VAS评分均显著优于治疗前（P＜0．05），但组间比较差异无统计学意义（P＞0．05）。研究组手术优良率为88％高于对照组的85％，但差异无统计学意义（P＞0．05）。结论腰椎间盘突出症复发根据病情不同给予针对性治疗，椎间盘摘除联合外侧融合术可改善椎间盘功能，提高手术成功率。
목적：관찰추간반적제연합외측융합술치료재발성요추간반돌출적림상료효。방법200례요추간반돌출환자근거요추유무실은분위연구조화대조조각100례。대조조환자100례술전무요추실은、퇴변성활탈，연구조환자100례합병요추실은、퇴변성활탈혹추관협착，대조조급여환자추간반적제술치료，연구조환자급여추간반적제연합외측융합술치료，응용JOA、ODI、LBOS、VAS평분표진행평분병기록수술우량솔。결과2조환자치료후JOA、ODI、LBOS、VAS평분균현저우우치료전（P＜0．05），단조간비교차이무통계학의의（P＞0．05）。연구조수술우량솔위88％고우대조조적85％，단차이무통계학의의（P＞0．05）。결론요추간반돌출증복발근거병정불동급여침대성치료，추간반적제연합외측융합술가개선추간반공능，제고수술성공솔。
Objective To observe the clinical curative effect of discectomy combined with posterolateral fusion for re -current lumbar disc herniation .Methods 200 patients with recurrent lumbar disc herniation were divided into study group and control group.100 patients who presented lumbar instability and degenerative spondylolisthesis or spinal stenosis were selected as study group .100 patients who did not present lumbar instability ,degenerative spondylolisthesis preoperatively were slected as control group.The study group was treated by discectomy combined with posterolateral fusion treatment ,and the control group was treated by discectomy ,application of JOA,ODI,LBOS,VAS scores were scored and recorded rate of surgical quality .Pa-tients′conditions were assessed by JOA ,ODI,LBOS,VAS score sheet,and surgery excellent rate was recorded .Results After treament,the JOA,ODI,LBOS,VAS score of the two groups were statistically better than before (P<0.05),but the difference between the two groups was not statistically significant (P>0.05).Surgery excellent rate of study group (88.00%) was high than that of control group (85.00%),but the difference was not statistically significant (P>0.05).Conclusion According to the different condition of recurrent lumbar disc herniation to give specific treatment .Discectomy combined with posterolateral fusion can improve the intervertebral disc function ,and improve the success rate of operation .