摘要
目的 探讨非包含型腰椎间盘突出对经皮腰椎间盘切吸术与胶原酶融解术疗效的影响。方法 非包含型腰椎间盘突出症患者 5 7例 ,其中PLD治疗 2 4例、PLD +CN治疗 3 3例 ,对其疗效进行分析。结果 PLD组 (2 0 .8% )与PLD +CN组 (5 1.5 % )显效率有显著性差异 (χ2 =5 .5 19,P =0 .0 19)。PLD +CN组 67.9%的椎间盘术后有不同程度回纳。 6例椎间孔型突出中 4例无效。结论 非包含型突出并非PLD绝对禁忌证 ;PLD联合CN治疗非包含型突出疗效可靠 ;椎间孔型突出不主张介入方法治疗。
Objective To discuss the influence of noncontained lumbar disc herniation to the effect treated by percutaneous lumbar discectomy (PLD) and chemonucleolysis (CN). Methods The curative effect and follow up results of 57 patients (24 treated by PLD and 33 treated by PLD associated with CN) with noncontained lumbar disc herniation were analyzed. Results The apparent rate of PLD group was 20.8%, lower than that of PLD+CN group (51.5%) (χ 2 =5.519, P =0.019). Follow up surveys showed that 67.9% of discs treated by PLD+CN have different degrees of extents back. Invalidity of treatment were found in 4 of 6 patients with intervertebral foramina herniation.Conclusion Noncontained lumbar disc herniation is not the absolute contraindication for PLD. The PLD associated with CN is an effective method for it.The intervertebral foramina herniation should not be treated by interventional therapies.
出处
《中国医学影像技术》
CSCD
2004年第12期1924-1927,共4页
Chinese Journal of Medical Imaging Technology
基金
本文受河南省教育厅科技攻关基金项目资助(2 0 0 1 32 0 0 0 35)。
