腰椎间盘突出症的诊断治疗和康复问题

Problems in the Diagnosis Trcatment andRehabilitation of the Prolapsed Lumbar In-tervertcbral Disc

本文根据已手术治疗腰椎间盘突出症的１０００多例的临床经验，对诊断治疗及术后康复三个方面进行讨论，在诊断上提出新的三项征象评分方法，把造影、ＣＴ、ＭＲＩ限制到最少数，对手术治疗上强调经后路进入椎管的重要性，所有前方进入椎体间，溶解或刮除髓核的方法，因无法在直观下判别椎间盘的病理改变及彻底处理其继发改变，科学地评估其价值，还有待较长时间观察，对术后康复主张以腰肌锻炼为主，所有手术治疗１０００例以上病人。少有施行脊柱融合术及术后配戴石膏围腰及其他腰围者。

Abstract According to the experience over 1000cases of prolapsed lumbar intervertebraldisc,there were three chief sings for diagno-sis. On operation,posterior rout exposureof the spinal cannal was the most importantprocedure. Exercise for the ltimbar musclewas so important,that gave the possibilityto avoid the instable complication of spinalcolumn after operation. All the problemswere discussed in detail.