| 杨淮河 邹鸿星 俞新胜 邵银初 李浩 林立波 张军.腰椎间盘突出症术后的中远期疗效分析[J].,2015,15(29):5732-5734 |
| 腰椎间盘突出症术后的中远期疗效分析 |
| Analysis of the Long-term Efficacy of Postoperative Lumbar Disc Prolapse |
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| DOI： |
| 中文关键词: 腰椎间盘突出 中远期 手术 疗效 |
| 英文关键词: Lumbar disc Long-term Surgery Curative effect |
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| 中文摘要: |
| 目的：回顾性分析腰椎间盘突出症患者术后的中远期疗效和预后情况并对手术疗法的效果作出评价。方法：以1995 年12
月到2014 年12 月期间在我院骨科接受治疗的腰椎间盘突出患者825 例作为研究对象，对患者进行术后的跟踪回访，观察其术
后的中远期疗效。结果：患者经术后随访效果均较佳，中期随访的患者优良率为94.2 %，中长期随访的患者优良率为85.3 %，超长
期随访患者的优良率为80.0 %；其中，中期效果最佳，与另外两组比较差异有统计学意义（P<0.05）。患者的治疗后改善指数均在
60 %以上，患者恢复效果较佳。中期、长期及超长期随访的患者改善指数分别为87.3 %、81.2 %和72.8 %。中期随访的患者疗效最
好，效果最明显，与超长期比较差异有统计学意义（P<0.05）。采用开窗髓核取出、全椎板切除减压及半椎板切除减压方法治疗，前
两组的疗效比第三组预后好，优良率分别为94.1 %、86.7 %、85.5 %，差异有统计学意义（P<0.05）。结论：采用手术治疗腰椎间盘突
出症的中远期疗效较佳，患者预后恢复理想，腰椎功能恢复优良，临床推广使用价值高。 |
| 英文摘要: |
| Objective:To retrospectively analyze the long-term curative effect and prognosis of patients with postoperative lumbar
disc prolapse and evaluate the effect of the surgical therapy.Methods:825 cases of patients with lumbar disc who received surgery in our
hospital from December 1995 to December 2014 were selected as the research objects. The long-term curative effect after the operation
was observed.Results:The curative effect of postoperative follow-up of patients was good, and the excellent rate of medium-term follow-
up of patients was 94.2 %, and the excellent rate was 85.3 %in medium and long-term follow-up and 80.0 %in super long-term follow-
up; and the medium-term effect was the best, had statistically significant difference compared with the other two groups (P<0.05).
After treatment, the improvement index of patients reached above 60 %, The improvement index of medium-term, long-term and super
long-term follow-up of patients was 87.3%, 81.2%and 72.8%, respectively, and it was the best in median term follow-up (P<0.05). By
nucleus pulposus resection through small incision and lamina fenestration, the whole lamina resection of nucleus pulposus decompression
and half lamina resection decompression method treatment, the curative effect of two groups before a better prognosis than the third
group, the excellent (94.1%), (86.7%), respectively (85.5%), the difference was statistically significant (P<0.05).Conclusion:The mediumand
long-term curative effect of surgical treatment is excellent for lumbar intervertebral disc protrusion with good prognosis and ideal
lumbar functional recovery ideal. |
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