腰椎间盘突出症手术治疗的经验与教训

目的探讨手术治疗腰椎间盘突出症的临床疗效,总结经验与教训。方法回顾性分析2007年3月—2011年3月在保定市第三中心医院采用外科手术治疗的33例腰椎间盘突出患者的临床资料,并以同期采用保守治疗的33例患者为对照组,比较2组患者的治疗效果。结果根据T.Nankna疗效评定标准判定,观察组33例,疗效优良者30例,占90.91%;可2例,差1例,二者占9.09%;其中术中髓核切除不彻底1例,椎管狭窄未完全解除2例。观察组有效率明显高于对照组,组间比较差异具有统计学意义(P0.05)。结论手术治疗腰椎间盘突出症疗效确切,并发症发生率低,值得临床推广应用。

Experiences and lessons of surgery for lumbar disc herniation

[Objective]To explore the clinical efficacy of surgical treatment for lumbar disc herniation,summarize experiences and lessons. [Methods]The clinical data of 33 lumbar disc herniation patients who were treated by surgery in the Third Central Hospital of Baoding City from March 2007 to March 2011 were studied with a retrospective analysis,the control group included 33 patients who were treated by conservative treatment,and the efficacy of two groups were compared. [Results]The efficacy was valuated according to the T.Nankna evaluation standard.Among 33 cases of the observation group,30 cases had good efficacy,which accounted for 90.91%.In the remaining 3 cases(9.1%) 2 cases had moderate efficacy,and 1 case had poor efficacy,removal of the nucleus pulposus is not complete during surgery in 1 case,spinal stenosis is not completely removed in 2 cases.The effective rate of the observation group was significantly higher than that of the control group(P<0.05). [Conclusion]The surgical treatment for lumbar disc herniation has obvious curative effect,low incidence of complications,which is worth popularizing.