118例腰椎间盘突出症的手术和非手术治疗对比

目的：探讨腰椎间盘突出症的手术及非手术治疗的适应症，方法：回顾性分析118例确诊的腰椎间盘突出症患者分为2组，A组（手术组）68例确诊后1周进行手术治疗。术后1周行腰背肌功能锻炼，B组（非手术组）50例采用臣硬板床休息，骨盆牵引，理疗，β-七叶皂甙钠静滴，疼痛缓解后进行腰背肌功能锻炼。平均随访2．1年，结果：手术组治愈率为94．1％，非手术组治愈率为90．0％，再组比较经x2检验无显著性差异（P＞0．05）。结论：并非所有的腰椎间盘突出症都需要手术治疗，应严格掌握手术及非手术治疗的适应证。

Contrastive Study on Herniation of Lumbar Intervertebral Disc with and without Surgical Treatment.

Objective: In order to define the indications of herniation of lumbar intervertebral disc with and without surgical treatment. Method: One hundred and eighteen patients who had the herniation of lumbar intervertebral disc were divided into two groups. There were sixty-eight cases in group A, and they were treated with surgical treatment. There were fifty cases in group B, and they were treated without surgical weasure. All the patients were followed-up for average 2.1 years. Results: The healing rate of group A was 94.1%, group B was 90.0% ( P >0.05). Conclusion: Not all the patients who had the herniation of lumbar intervertebral disc need surgical treatment. The indications of the patients with or without surgical treatment should be considered full individually.