腰椎间盘突出症患者治疗效果研究

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1、腰椎间盘突出症患者治疗效果研究摘要：目的：观察不同疗法治疗腰椎间盘突出症患者的效果，分析并探讨各种疗法的优缺点。方法：选择自2011年11月至2012年11月我院骨科收治的腰椎间盘突出症患者60例，根据患者腰椎间盘突出症的分型以及以往的治疗效果选择不同的治疗，比较不同治疗的疗效，从而评价不同治疗的适用情况。结果：慢性、轻型、膨出型患者36例采用牵引合并手法等综合保守治疗，其中28例有效，有效率77.8%；其余8例改在CT引导下行介入治疗，症状均得到缓解；长期保守治疗无效及症状明显同时有合并症的患者24例采取手术治疗，主要是行后路椎间盘摘除术，其中21例患者术后疗效良好

2、，其余3例患者仍有神经根受压表现，治疗有效率87.5%。结论：腰椎间盘突出症的有效治疗需要通过早期的诊断以及选择不同适宜的治疗，症状明显且经过影像学检查确诊的患者，经长期保守综合治疗无效后，可行介入微创术或手术治疗，可有效改善症状以及防止并发症的发生和发展。关键词：腰椎间盘突出症；保守治疗；微创介入；手术;治疗效果PatientswithlumbardischerniationtreatmeriteffectanalysisWeiXiangAbstract：Objective：Toobservetheeffectofdifferenttherapiesinthetre

3、atmentofpatientswithlumbardischerniationeffect,analyzesanddiscussestheadvantagesanddisadvantagesofvariousthera.pies・Methods:from2011Novemberto2012NovemberinDepartmentoforthopedicsinourhospitalfromlumbardischerniationin60cases,accordingtothepatientswithlumbardischerniationclassificationa

4、swellasprevioustherapeuticeffectsofdifferenttherapeuticoptions,differenttreatment,andevaluationofdifferenttreatmentapplication.ResuIts：inchronic,light,bulgingtype36patientsbytractioncombinedwithtechniqueofcomprehensiveconservativetreatment,28caseseffective,efficiencyof77.8%；theremaining

5、8patientschangedinCTguidedinterventionaltherapy,symptomswerealleviated；long-termconservativetreatmentisinvalidandsymptomsandcomorbidityofpatients24casestakeoperationtherapy,mainlyisposteriordiscectomy,including21patientswithpostoperativecurativeeffectisgood,theremaining3patientsstillhad

6、thenerverootcompressionperformance,theeffectiverateofthetreatment87.5%.Conclusion:lumbardischerniationeffectivetreatmentneedsthroughearlydiagnosisandchoosingdifferentappropriatetreatment,symptomsandafterradiologicalexaminationofthepatientsdiagnosedbylong-termconservativetreatment,ineffe

7、ctive,feasibleinterventionalminimallyinvasivesurgerytreatmentoroperation,caneffectivelyimprovethesymptomsandpreventcomplicationsanddevelopment.Keywords：lumbardischerniation；conservativetreatment；minimallyinvasive；operation；therapeuticeffect【中图分类号】R242【文献标识码】B【文章编号】1674-7526(201