影响腰间盘突出症下肢症状的因素分析

Analysis of influence factors on symptoms of lower extremity of protrusion of lumbar intervertebral discs

目的：探讨腰间盘突出症下肢症状产生的影响因素。方法：回顾性分析179例腰间盘突出症诊治的临床资料。结果：通过射频热凝及手术两种治疗方法不同阶段的先后应用,进行疗效观察。单纯通过射频热凝治疗方法,治愈率为20．67%；单纯通过手术治疗；治愈率为21．23%；两种方法先后协同使用,治愈率为48．04%。结论：腰间盘突出的患者,其下肢症状的产生既有椎管内痛变因素,又有椎管外病变因素,其中,椎管内外病变的共同影响,是下肢症状产生的最常见原因。

Objective： To investigate the influence factors on symptoms of lower extremity of protrusion of lumbar intervertebral discs （PLID）. Methods： The clinical data of 179 cases of PLID, who were treated with electrocoagulation and operation, were retrospectively analyzed, Results： The cure rate was 20.67% in group treated only with electrocoagulation; the cure rate was 21.23% in group treated only with operation; the cure rate was 48.04% in group treated by combining electrocoagulation and operation. Conclusion： The synergy of pathological changes in the intra - vertebral canal and extra - vertebral canal is the most common factor causing symptoms of lower extremity of PLID.