| 马学晓,岳斌,陈伯华,张国庆,相宏飞,胡有谷.单纯髓核摘除术治疗腰椎椎间盘突出症的长期疗效观察[J].脊柱外科杂志,2012,10(5):293-295. |
单纯髓核摘除术治疗腰椎椎间盘突出症的长期疗效观察  点此下载全文 (Fulltext) |
| 马学晓 岳斌 陈伯华 张国庆 相宏飞 胡有谷 |
| 266003 山东, 青岛大学医学院附属医院脊柱外科;266003 山东, 青岛大学医学院附属医院脊柱外科;266003 山东, 青岛大学医学院附属医院脊柱外科;266003 山东, 青岛大学医学院附属医院脊柱外科;266003 山东, 青岛大学医学院附属医院脊柱外科;266003 山东, 青岛大学医学院附属医院脊柱外科 |
| 基金项目：卫生公益性行业科研专项经费项目《慢性脊椎退行性疾病及畸形的早期干预及规范化诊疗》 |
| DOI：10.3969/j.issn.1672-2957.2012.05.011 |
| 摘要点击次数: 1916 |
| 全文下载次数: 1069 |
| 摘要： |
| 目的 回顾性观察腰椎椎间盘突出症患者行单纯髓核摘除术后的远期疗效。方法 1988年11月~2003年6月因腰椎椎间盘突出行单纯髓核摘除术且随访≥10年的患者共54例。采用中华医学会骨科学分会脊柱外科学组腰背痛手术评定标准和日本骨科学会（Japanese Orthopaedic Association，JOA）评分标准，比较不同随访时间的疗效。结果 依据中华医学会骨科学分会脊柱学组腰背痛手术评定标准，54例患者总优良率为83.3%，开窗组、半椎板组和全椎板组优良率分别为83.3%、88.9%、66.7%，3组间差异无统计学意义（P>0.05）。术前JOA评分为7.86±4.31分，术后为22.86±6.59分。3组JOA改善率分别为（71.99±28.64）%、（72.43±21.85）%、（67.02±44.68）%，3组间JOA改善率差异无统计学意义（P>0.05）。结论 单纯髓核摘除术治疗腰椎椎间盘突出症长期随访可获得良好疗效，且开窗、半椎板切除和全椎板切除疗效无明显差异。 |
| 关键词：腰椎 椎间盘移位 椎间盘切除术 随访研究 |
| Long-term results of discectomy for lumbar disc herniation Fulltext |
| MA Xue-xiao YUE Bin CHEN Bo-hua ZHANG Guo-qing XIANG Hong-fei HU You-gu |
| Department of Spinal Surgery, Affiliated Hospital of Medical College, Qing-dao University, Qing-dao 266003, Shandong, China;Department of Spinal Surgery, Affiliated Hospital of Medical College, Qing-dao University, Qing-dao 266003, Shandong, China;Department of Spinal Surgery, Affiliated Hospital of Medical College, Qing-dao University, Qing-dao 266003, Shandong, China;Department of Spinal Surgery, Affiliated Hospital of Medical College, Qing-dao University, Qing-dao 266003, Shandong, China;Department of Spinal Surgery, Affiliated Hospital of Medical College, Qing-dao University, Qing-dao 266003, Shandong, China;Department of Spinal Surgery, Affiliated Hospital of Medical College, Qing-dao University, Qing-dao 266003, Shandong, China |
| Fund Project: |
| Abstract: |
| Objective To retrospectively analyze the long-term results of discectomy alone for patients with lumbar disc herniation. Methods A follow-up study was conducted in patients who underwent discectomy alone for lumbar disc herniation from November 1988 to June 2003 in our hospital. A total of 54 cases (male 41 and female 13) were followed up for more than 10 years. The standards Scoring System of Chinese Spinal Association(CSA) and Japan Orthopaedic Association (JOA) were used for investigation. Results According to the CSA system, the total satisfactory (good and excellent) rate of discectomy was 83.3%; the satisfactory rates of "open-window", hemilaminectomy and total laminectomy group were 83.3%,88.9%,66.7%, respectively, with no significant difference found among three groups(P>0.05). The score of JOA was 7.86±4.31 before operation and 22.86±6.59 after operation. The JOA score improvement rates of "open-window", hemilaminectomy and total laminectomy group were (71.99±28.64)%,(72.43±21.85)%,(67.02±44.68)%, respectively, and there was no significant differences among the three groups(P>0.05). Conclusion Discectomy alone can achieve satisfactory long-term results in treatment of lumbar disc herniation, and there is no significant difference in long-term results among "open-window", hemilaminectomy and total laminectomy groups. |
| Keywords:Lumbar vertebrae Intervertebral disk displacement Diskectomy Follow-up studies |
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