摘要
目的分析腰椎间盘突出症介入治疗后远期疗效随访结果,探讨其治疗的方法选择及能否扩大介入治疗适应症的问题。方法回顾性分析单纯椎间盘切吸术、单纯胶原酶溶解术和椎间盘切吸术加胶原酶溶解术的长期随访资料共计212例并分成3组,评价各组的总体疗效情况,对各组疗效优良率进行统计分析,评价椎间盘切吸加溶核组内特殊病例(老年患者、手术后患者及椎间盘钙化患者)的疗效情况。结果切吸组与溶核组远期疗效、疗效优良率均相近,且低于切吸加溶核组;切吸加溶核对于不同特殊病例的疗效相近。结论切吸术联合溶核术治疗具有较好的互补性,远期疗效令人满意,并且突破了外科手术后复发者和椎间盘突出合并钙化者为介入手术禁忌证的限制,可视为腰椎间盘突出症介入治疗的有效方法。
Objective To analyze the long-term effect of lumbar disc herniation （LDH） by interventional therapy. Methods 212 cases were divided into three groups according to the curative methods, including simplex automated percutaneous lumbar discectomy （APLD） （Group 1）, simplex collagenase chemonucleolysis （CCNL） （Group 2） and APLD combination with CCNL （Group 3）. The results of the total curative effect were analyzed. Results The excellent effective rate of Group 3 reacthed 89.9%, which was significantly different from Group 2 （P=0. 007）. There were no significant differences in the excellent effective rate between Group 1 and Group 2 （P=0. 141） and between Group 1 and Group 3 （P = 0. 158）. Conclusion The method of APLD combination with CCNL demonstrats better complementarity and satisfactory long-term effect.
出处
《西部医学》
2008年第4期792-793,795,共3页
Medical Journal of West China
关键词
腰椎间盘突出症
介入
切吸术
胶原酶溶解术
Lumbar disc herniation
Interventional therapy
Long-term
Curative effect
