腰椎间盘突出症患者的手术治疗与效果分析

Surgical treatment and effect analysis for patients with lumbar disc herniation

目的探讨腰椎间盘突出症患者的手术治疗与效果。方法随机选择2006年3月~2012年6月期间在我院被确诊为腰椎间盘突出症的患者56例作为研究对象,根据患者病情,采用椎板间开窗、半椎板和全椎板切除的突出髓核摘除术进行治疗,并随访记录患者2年内恢复情况和并发症的出现。结果开窗髓核摘除术治愈率为92.8%,继发率为6.5%,并发症率为2.4%,半椎板切除术治愈率为91.7%,继发率为8.3%,并发症率为4.3%。全椎板切除术治愈率为82.4%,继发率为15.8%,并发症率为17.4%。结论手术治疗腰间盘突出症疗效明显,但同时也伴有继发症和并发症的风险,需要谨慎进行手术治疗。

Objective To analyze the waist dish outstanding disease patients with surgical treatment and effect. Methods Randomly selected during March 2006 to June 2012 in our hospital was diagnosed with 56 cases of lumbar disc prolapse patients as the research object, according to patients condition, adopting lamina between window, half lamina and lamina excision of herniation of nucleus pulposus with excision treatment, and follow-up record recovery and complications in patients 2 years. Results Open the window cure rate was 92.8%, the extraction of nucleus pulposus secondary rate was 6.5%, the complication rate was 2.4%, half laminectomy cure rate was 91.7%, the secondary rate was 8.3%, the complication rate was 4.3%. Total laminectomy cure rate was 82.4%, the secondary rate was 15.8%, the complication rate was 17.4%. Conclusion Surgical treatment for the waist dish outstanding disease curative effect significantly, but also accompanie^by a secondary disease and risk of complications, surgery need careful treatment.