同节段出口根减压对严重腰椎间盘脱出症治疗的影响

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1、英文摘要TheeffectofexitingnerverootsdepressiononthetherapyofprolapseoflumbarintervertebraldiscABSTRACTObjective：Lumbardiscdegeneration，fibrousringrupture，impairedherniatednucleusstimulationorcorrespondinglevelofnerverootaftertheclinicalsyndromeforlumbardischerniation．TheincidencerateiSaboutl5

2、．2％，goodhairage2040years，accountingforabout75％of．LumbardiscdegenerationiSthemostcommonpathogemctactors，discherniationot●一--●●'lumbarinaddition，trauma，longtimesedentary,male，weight，fatandthinareoredisoosingfactorsfor‘umbardischerniation．Theclinicalmanifestationoforedisposingtactorstorlumba

3、rdisctiemlatlontieclinicalmanllestatlonOI●intermittentpain，andrepeatedepisodesofradicularpain，seriouswhencanappearononesideoflowerlimb，ahorsetailnervedamagecanoccurincaudaequinasyndrome，oftenexpressedasasaddleareanumbness，defecationdysfunction，severecasescanleadtoparalysis，lumbarintervert

4、ebraldisc一‘●'-herniationmostsignstheclinicalmanifestationoflowbackpainandradiatingpainiSassociatedwithunilateralorbilateralsciaticnerveandfemoralnerve．LumbardischemiationaccordingtoaprominentdegreeCanbedividedinto3types，prominenttype，extrusiontype．Protrusionofintervertebraldisctostudythep

5、athogenesisoflowbackpaincausedbymany,themechanismisrecognized：mechanicalcompressiontheory,nerverootinflammation，autoimmunetheory．Forthetreatmentoflumbardischerniationismainlydividedintononoperationtreatmentandoperationtreatment．Nonoperationtreatmentoftraction，massage，acupuncture，mainlyinc

6、luding，injection，infusion，nerverootblockandotherconservativetreatment，becauseofnotremoveintervertebraldiscpressureonthenerVeroot，oltentheeffectisnotsure．Operationtreatmentismainlydividedintoopenoperationandminimallyinvasiveoperation．In1934theMixteRandBarrfort}lefirsttime，thesuccessfulimpl

7、ementationoflumbardiscectomyoperation，thenopenoperationhasgraduallybecomethemainmeansoftreatmentoflumbardisc4英文摘要herniationbynonoperationtreatmentiSinvalid，theinterlaminar¨window”techniquegraduallybecomeclassicalsurgicaloperationinthetreatmentoflumbardischemimion．Bu