军人腰椎间盘突出症258例临床分析

Clinical Analysis of 258Soldiers with Lubar Intervertebral Disc Protrusion

目的探讨军人腰椎间盘突出症的临床特点和治疗方法。方法我院采用保守治疗、微创治疗、小切口椎板开窗髓核摘除术治疗军人腰椎间盘突出症258例,对其临床资料进行回顾性分析。结果本组均获随访,平均随访时间22个月,总优良率为94.6%;发生并发症2例,其中椎间隙感染1例,脑脊液漏1例,经对症处理后治愈。结论对军人腰椎间盘突出症应根据患者个体差异合理选择治疗方案。

Objective To evaluate the clinical characteristics and the treatment of lubar intervertebral disc protrusion in soldiers. Methods 258 patients in our hospital underwent conservative treatment, minimally invasive treat- ment and small incision fenestration discectomy operation, and the clinical data were retrospectively analyzed. Results All patients were followed up for average 22 months. The total excellent rate was 94.6%. There were two patients with complications, one with intervertebral space infection and the other with cerebrospinal leak. Both were cured by symptomatic treatment. Conclusion Soldiers with lubar intervertebral disc protrusion should be given reasonable treatments for the individual differences.