摘要
目的:探索制定评估腰椎间盘突出症手术疗效的新评分系统。方法:扩大开窗+髓核摘除术治疗48例单节段髓核旁侧型突出患者,术后6月病人复查时,检查其临床症状和体征,并采用JOA下腰痛评分系统和自制腰椎间盘突出症术后评分系统评估术后恢复情况。结果:根据JOA评分标准,恢复率为80%(术前评分平均为5.8分,术后6月复查时为14.2分);而根据自制评分系统,恢复率为85%(术前评分为3.0分,手术后评分为8.1分)。结论:残留下腰痛或下肢麻木胀痛是影响腰椎间盘突出症患者手术预后的主要因素;自制单节段腰椎间盘突出扩大开窗术后的疗效评估标准,内容简单,标准客观,与临床恢复情况更加相符。
Objective： To explore a new scoring system for evaluating the prognosis of patients with lumbar disc herniation（LDH）. Methods： Forty-eight patients with lateral LDH were operated with fenastion enlarged lamninectomy and the nerve root canal was explored routinely in all the patients. All patients received methylprednisolone treatment and rehabilitation. JOA scoring and the self-made scoring system were applied to evaluate the recovery rate in six months after operation. Results： The mean recovery rate in 6 months after operation was 80% by JOA scoring versus 85 % according to the new self-made one. Conclusion： Remaining pains in the low back and the affected lower extremity were the main prognostic factors of LDH. The new self-made scoring system for single segment LDH postoperatively is simple and objective, and agrees with the clinical recovery better.
出处
《武汉大学学报（医学版）》
CAS
2008年第2期260-262,共3页
Medical Journal of Wuhan University
关键词
腰椎间盘突出症
手术
预后
Lumbar Disc Herniation
Operation
Prognosis
