摘要
目的探讨游离型腰椎间盘突出症(sequestered lumbar disc herniation,SLDH)的临床特点及合理治疗方案。方法回顾分析56例SLDH的临床资料,根据术前MRI和术中探查结果,总结分析SLDH临床特点,并进行疗效评价。结果SLDH分为单纯游离、游离黏连、异位游离三种类型。随访6～26个月,平均18个月,无术后复发者。术后4周采用Macnab标准评价疗效,优31例,良18例,可7例,优良率87.5%。结论SLDH诊断明确后,根据椎间盘的游离情况,采用适当的手术治疗可获得满意疗效。
Objective To explore the clinical features and effective treatment of sequestered lumbar disc herniation（SLDH）.Methods 56 cases of SLDH were analyzed retrospectively and summarized by analyzing MRI of preoperation and the exploration of operation;evaluated the efficacy of surgical treatment.Results SLDH can be divided into 3 types：simple sequestered、sequestered adhesion and ectopic sequestered;According to the Macnab standard evaluation,31 cases were excellent、18 cases were good and 7 cases were moderate, rate of fineness was 87.5%. Conclusion Curative surgical treatment for different types SLDH diagnosed clearly is advisable.
出处
《实用骨科杂志》
2009年第11期807-808,共2页
Journal of Practical Orthopaedics
关键词
游离型
腰椎间盘突出症
手术治疗
sequestered
lumbar disc herniation
operative treatment
