摘要
目的探讨侧卧位、小切口、小开窗手术治疗腰椎间盘突出症的临床疗效。方法选择符合纳入标准的232例患者,进行侧卧位、小切口、小开窗手术治疗,并按照改良MacNab法对所有纳入病例进行术后疗效评价,随访6个月至3年。结果显效:94例(40.5%),有效127例(54.7%),总有效率为95.3%;208例患者得到随访,腰腿及下肢疼痛复发24例(11.5%)。结论侧卧位、小切口、小开窗手术治疗腰椎间盘突出症疗效确切,远期疗效较好。
Objective To research the curative effect of lateral position,small incision and small bone window surgical treatment for lumbar disc herniation. Methods Two hundred and thirty-two cases met the inoclusion criteria were treated by lateral position, small incision and small bone window surgical treatment, to evaluate the cases included after operation according to improved Mac- Nab method,to follow up for 6 months to 3 years. Results The excellence cases were 94 （ 40.5 %）, the effective cases were 127 （54.7 %）, the total effective rate was 95.3 %, the follow-up visit cases were 208,24 cases （11.5 % ） relapsed lumbus and lower extremity pain. Conclusion The curative effect of lateral position, small incision and small bone window surgical treatment for lumbar disc herniation is well,long-term efficacy is also well.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第17期2209-2210,共2页
Chongqing medicine
关键词
腰椎间盘突出症
髓核摘除术
侧卧位
小切口
小开窗
lumbar disc heriation
discectomy
lateral position
small incision
small bone window
