摘要
目的探讨游离型腰椎间盘突出症的手术治疗效果。方法回顾性分析2007年1月-2008年3月诊治的17例游离型腰椎间盘突出症患者的临床资料,所有患者随访超过12个月。结果根据Macnab疗效评定标准,总体优良率15/17,2例患者马尾神经功能不能完全恢复。结论游离型腰椎间盘突出症早期诊断后,应选择合适术式。手术彻底解除神经根的压迫,是减少术后并发症和防止神经根变性致不可逆损伤的重要措施。
Objective To explore the curative effect on the treatment of the free protrusion of the lumbar intervertebral disc by surgery. Methods The clinical data of the 17 patients with free type lumbar disc herniation were analyzed retrpspectively. All patients were followed up over 12 months. Results According to the Macnab standard, the excellent and good results were in 15 cases,partial recovery of the function of cauda equine was achieved in 2 cases. Conclusion When the early diagnosis of free type protrusion of lumbar intervertebral disc is confirmed,a suitable surgical procedure should be selected. Operative thorough decompression of nerve root is key to reduce postoperative complications and prevent degeneration of nerve root resulting in irreversible damage.
出处
《岭南现代临床外科》
2009年第3期213-215,共3页
Lingnan Modern Clinics in Surgery
关键词
手术治疗
椎间盘突出
游离物
Operative treatment
Intervertebral disc herniation
Free substance
