非洲人腰椎间盘突出术后复发原因与治疗

Study of Causes and Treatment of Recurrence of Lumbar Disc Herniation after Operation among African Patients

目的：探讨非洲人LDH（Lumbar Disc Herniated）术后复发的原因及再次治疗的最佳方法。方法：采用骶管硬膜外前间隙介入注射利得合剂（A组）和休息＋口服消炎镇痛药物（B组）治疗LDH术后复发，运用统计学分析，并进行对比研究，根据Prolo腰椎术后评定标准，对全都复发病例（56例）进行了3～9个月的随访。结果：A组30例中，8～10分11例，6～7分15例，〈5分4例；B组26例中，8～10分6例，6～7分12例，〈5分8例。两组结果经统计学比较差别有显著性（P〈0．05）。结论：非洲人LDH术后复发的原因也是多方面的，骶管硬膜外前间隙介入注射利得合荆也是一种行之有效的治疗方法。

Objective：To study the causes and the best treatment of recurrence of LDH （Lumbar Disc Herniated） after operation among African patients. Methods;Group A,LDB （Lidocaine ,Diprospan ＆ Vitamin B1,12 ）of the epidural space anterior injection of the sacral canal,and group B,rest and oral antipyretic analgesics. The study offered a comparison and contrast analysis by statistic and analysis in accordance with Prolo＇s LDH assessment criterion,a random sampling was taken to follow up all the 56 recurrence cases,the study form 3-9 months. Results：Among the 30 cases of group A, 11 cases gained 8- 10 scores, 15 cases gained 6- 7 scores,and 4 cases gained less than 5 scores,while among the26 cases in group B,6 cases gained 8-10 Scores. 12 cases gained 6-7 scores,and 8 cases gained less than S scores. Both groups indicate a differences （P〈0.05） after the statistical comparison and comparative. Conclusions ：The causes of recurrence of LDH after operation are multiple and its concerned treat alternatives among. LDB of the epidural space anterior injection of the sacral canal proves to be an effective treat alternative.