摘要
目的探讨椎板开窗髓核摘除术治疗腰椎间盘突出症的临床效果。方法自1980年1月-2004年12月对5482例腰椎间盘突出症患者采用椎板开窗髓核摘除术，4329例经过半年-20年（平均6．7年）随访并对其疗效作出评价。结果术后平均（3±2）d下床活动，（15±6）d生活自理，（28±9）d恢复工作。按Nakai标准评定：4329例患者中优3374例（77．9％），良652例（15．2％），可249例（5，8％），差54例（1．1％），优良率93．1％。结论椎板开窗髓核摘除术直接切除髓核、钙化后纵韧带、增生骨．创伤小．可最大限度保留腰椎后部结构的完整性．治疗腰椎间盘突出症疗效满意。
Objective To explore the clinical outcomes of the removal of nucleus pulposus with vertebral lamia fenestration in the treatment of lumbar disc herniation. Methods A total of 5482 patients with lumbar disc herniation were performed to remove nucleus pulposus with vertebral lamia fenestration. The follow-up study was conducted in 4329 cases for the duration varying from 6 months to 20 years, averaging 6. 7 years, and the therapeutic effect of the operation was evaluated. Results After operation, the patients could walk in （3 ± 2） days, resumed their daily activities in （15±6 ） days and went hack to work in （28±9） days. According to the Nakai scale, excellent results were achieved in 3374 cases （77.9%）, good in 652 cases （ 15.2% ）, improved in 249 cases（5. 8% ） and poor in 54 cases （ 1.1% ）. The rate of excellent and good results was 93.1%. Conclusion The advantages of the removal of nucleus pulposus with vertebral lamia fenestration are the removal of the annulus fibrosus, the calcified ligamentum flavum and osteophyte under direct vision. The operation may preserve the utmost integrity of the posterior lumbar structures, and the operative treatment has shown its good results.
出处
《中国医师杂志》
CAS
2006年第4期450-452,共3页
Journal of Chinese Physician
