摘要
目的 通过对85例腰椎间盘突出症伴有单侧下肢症状的患者开窗手术疗效的回顾性分析,探讨标准开窗手术治疗腰椎间盘突出症的疗效。方法收集我院自1996年2月～2001年3月346例腰椎间盘突出症伴有单侧下肢症状患者行开窗手术治疗的临床资料,进行术后1年疗效随访调查,并进行疗效评价分析。结果可随访到85例,出院时患者症状均有改善,其疗效功能评分与手术前功能评分之间有显著差异,P<0.01;术后1年随访疗效以JOA评分:其中改善率为优者55例(64.7％),良23例(27.1％),差7例(8.2％),随访结果的功能评分与手术前功能评分之间亦有显著差异,P<0.01。结论 标准开窗手术具有创伤小、恢复早的优点。标准开窗术式对腰椎间盘突出症术后不仅即刻就有功能的改善和良好疗效,而且开窗术式对腰椎间盘突出症的治疗具有一定的长期疗效作用。严格掌握手术指征,强调手术不仅要摘除突出的椎间盘髓核,更应彻底扩大侧隐窝松解被嵌压的神经根以提高手术疗效和积极预防下腰椎失败综合症的发生。
Objective To Retrospective analyze the operative effect of 85 patients who were protrusion of lumbar intervertebral disc with symptom of unilateral low limb. To discuss the results of the lumbar intervertebral disc herniation(LDH) with Fenestration procedure. Methods To collect clinical data of 346 patients with, protrusion of lumbar intervertebral disc with symptom of unilateral low limb underwent fenestration from February,1996 to march, 2001 at the First Clinical College of Xinjiang Medical University, and these patiens were followed up one year afert operation. Results 85 patients were followed up successfully. When they discharged, to some exetent their symptom had been improved. Acorrding to acessment of JOA, excellent results were obtained in 55 cases (64.7%), good in 23(27.l%)and poor in 7(8.2%). The score of postoperative function when discharaged had a marked difference with that of preoperation. Conclusion The operative method has the merits of small wound and early recovery. Fenestration took not only immediate improvement of function and better effect, but aslo difinite long-term effect. Strictly grasp surgerical norm.In order to improve the curative effect, the protruded necleus pulposus of intervertebral disc should be excised and complete decompression of. nerve root is also important. To pay attention to prevent failed back surgery syndrome.
出处
《生物骨科材料与临床研究》
CAS
2004年第5期16-19,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
要椎间盘突出
侧隐窝狭窄
标准开窗术
Lumbar intervertebral disc heniation
Lateral recess stenosis
Fenestration procedure
