摘要
目的 探讨游离型腰椎间盘突出症的临床表现及手术治疗的特点。方法 2 3例游离型腰椎间盘突出症病例 ,均在入院后给予脱水药物缓解神经水肿并在 3日内及时行全椎板切除减压、髓核摘除术 ,术后继续使用脱水药物 7天。结果 2 3例随访期 3个月～ 3年 ,平均 15个月。根据Macnab标准评定 ,优良率 86 9%。 3例就诊时已出现小便失禁伴一侧垂足的患者术后虽然疼痛缓解 ,但足下垂及膀胱功能障碍无改善。结论 游离型腰椎间盘突出症是手术的绝对适应证 ,一经明确诊断必须尽早手术抢救神经功能。手术必须充分彻底 。
Objective To study the clinical manifestation and surgical treatment of sequestered lumbar disc herniation(SLDH). Methods 23 cases of SLDH were undergone total lumbar laminectomy and nucleotomy combined with dehydration therapy 3 days before and 7 days after the operation. Results All cases were followed up for 15 months on average (3 months～3 years).According to the Macnab standard, the excellent and good rate was 86 9%. Three cases with symptoms of cauda equina injury got no more neural recovery than pain relief. Conclusion SLDH is the absolute indication for the surgical treatment, and the operation must be performed completely. Only through early diagnosis and early operation can one get satisfied therapeutic result of necural function.
出处
《临床骨科杂志》
2002年第2期131-133,共3页
Journal of Clinical Orthopaedics
