腰椎间盘突出症保守治疗与手术治疗的疗效分析

发布时间：2018-03-02 03:19

本文关键词： 腰椎间盘突出椎板减压髓核摘除术保守治疗　出处：《长春中医药大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的:对近期随访的腰椎间盘突出病人进行回顾性研究,评价椎板减压髓核摘除椎弓根钉内固定术与保守治疗的效果,为临床提供参考。方法:将60例患者按自愿入组分为试验组和对照组各30例,试验组采用椎板减压髓核摘除椎弓根钉内固定术,对照组采用保守治疗,运用JOA腰痛疾患疗效评定标准,观察两组的疗效。结果:非手术治疗组共30例,优15例,占38%;良9例,占47%可1例,占3%;差5例,占1%;优良率为85%。椎板开窗法髓核摘除治疗组30例,优16例,占44%;良13例,占39%;可1例,占11%;差2例,占6%;优良率为83%。结论:1)如适应症得当非手术治疗和手术治疗都可以获得较好的近期疗效;2)非手术治疗可作为腰椎间盘突出症的首选方法。
[Abstract]:Objective: to study retrospectively the patients with lumbar disc herniation who were followed up recently, and to evaluate the effect of decompression of vertebral lamina, removal of nucleus pulposus and internal fixation of pedicle nail. Methods: 60 patients were divided into experimental group (30 cases) and control group (30 cases). The experimental group was treated with laminectomy and pedicle nail fixation, and the control group was treated with conservative treatment. The curative effect of the two groups was observed by JOA low back pain evaluation standard. Results: there were 30 cases in the non-operative treatment group, 15 cases were excellent, 9 cases were good, 1 case was fair, 3 cases were inferior, 5 cases were poor. There were 30 cases in the treatment group, 16 cases were excellent, 13 cases were good, 1 case was fair, 1 case was fair, 11 cases was inferior, 2 cases were poor. The excellent and good rate is 83.Conclusion: if the indication is proper, both non-operative treatment and surgical treatment can obtain better short-term curative effect. (2) Non-operative treatment can be used as the first choice for lumbar disc herniation.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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