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腰椎间盘突出症切吸术后疗效不佳原因分析 被引量:5

Analysis of causes of unsatisfactory clinical effect of lumbar disc herniation treated by automated precutaneous lumbar discectomy
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摘要 目的探讨经皮穿刺切吸术治疗腰椎间盘突出症的临床疗效。方法自1993年5月 ̄1996年11月对377例腰椎间盘突出症患者采用自动式经皮腰间盘切吸仪(APLD)治疗,随访时间10个月 ̄3.5年(平均2.1年),按Macanb疗效标准进行评定。结果差30例。其中21例经再次切吸手术,8例获优良疗效,另9例行手术探查。结论经皮穿刺切吸术是治疗腰椎间盘突出症的一种有效方法,但应严格掌握手术适应症。 [Objective] To analyse the causes of the unsatisfactory clinic effect of lumbar disc herniation (LDH) treated by automated precutaneous lumbar discetomy(APLD). [Methods] 377 cases with LDH were treated by APLD. All were followed up for 10 months to 3.5 years(average 2.1 years),and accessed by Macnab,s criterion. [Results] 30 case got poor results, of which were performed reoperation of APLD and 8 got excellent and good effects. [Conclusion] APLD is a kind of effective method for LDH. But it is important to control the surgical indication strictly.
出处 《中国现代医学杂志》 CAS CSCD 北大核心 2005年第17期2696-2697,共2页 China Journal of Modern Medicine
关键词 腰椎间盘突出症 椎间盘切除术 切吸术 lumbar disc herniation diskectomy percutaneous
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