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青少年腰椎间盘突出症的病因及治疗
引用本文:蔡晓冰,侯铁胜,谭军,贾连顺. 青少年腰椎间盘突出症的病因及治疗[J]. 中国矫形外科杂志, 2004, 12(7): 501-503
作者姓名:蔡晓冰  侯铁胜  谭军  贾连顺
作者单位:第二军医大学长海医院骨科,上海,200433
摘    要:目的 :探讨青少年腰椎间盘突出症的病因和治疗。方法 :12例青少年腰椎间盘突出症均手术治疗 ,开窗术 9例 ,扩大开窗 3例 ,分析其病因 ,临床表现及治疗方法。结果 :随访全部病例 ,平均随访时间 1 5年 ,优良率达 92 3 %。结论 :外伤和畸形是造成青少年腰椎间盘突出症的主要原因 ;X线检查不易诊断和定位 ,体征明显是其临床特征。治疗上在严格保守治疗无效的情况下 ,手术治疗也是重要的治疗方法。

关 键 词:青少年  椎间盘突出症  外科治疗
文章编号:1005-8478(2004)07-0501-03
修稿时间:2003-11-05

Etiology and treatments of lumbar disc herniation in children and adolescents
CAI Xiao-bing,Hou Tie-sheng,TAN Jun,et al.. Etiology and treatments of lumbar disc herniation in children and adolescents[J]. The Orthopedic Journal of China, 2004, 12(7): 501-503
Authors:CAI Xiao-bing  Hou Tie-sheng  TAN Jun  et al.
Affiliation:CAI Xiao-bing,Hou Tie-sheng,TAN Jun,et al.Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433
Abstract:Objective:To study the etiology and treatments of lumbar disc herniation in children and adolescents.Method:Twelve patients were operated on 9 cases with fenestration,3 cases with hemilaminectomy;their etiology,clinical symptoms,signs and treatments were analyzed.Result:All cases were followed-up for 1.5 years in average.The satisfactory rate was 92.3 percent.Conclusion:Trauma and malformation are the chief causes of adolescent lumbar disc herniations;diagnosis and orientation cann't by radiology,serious physical signs are their clinical characteristics.It is important that surgical treatment should be considered as an important treatment method,if conservative therapy wouldn't efficencey.
Keywords:Adolescent  Lumbar disc herniation  Etiology and treatments
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