PLD联合腰背肌功能训练治疗腰椎间盘突出定疗效观察

The Clinical Effects OF PLD Combined Lumbar Back Muscle Function Training Treatment of Lumbar Intervertebral Disc Herniation

目的：观察经皮腰椎间盘摘除术（PLD）联合腰背肌功能训练治疗腰椎间盘突出症的治疗效果。方法：腰椎间盘突出症患者730临床病例，随机分为治疗组和对照组。对照组行PLD＋局部理疗，治疗组在此基础上给予腰背肌功能训练．记录治疗前和治疗后1、7、14、30d的疼痛VAS评分、1年随访复发率。结果：两组1月后VAS评分没有显著差异．但1年随访治疗组复发率明显低于对照组。结论：腰背肌功能训练有助于降低PLD术后腰椎间盘突出症的复发率低，提高远期效果。

Objective： To observe the clinic effects of percutaneous lumbar diskectomy （PLD） combined back muscle function training treatment of lumbar intervertebral disc herniation. Methods： 730 patients with lumbar intervertebral disc herniation clinical cases, random divided into treatment group and control group. Control group did PLD ＋ local physical therapy, treatment group was given based on the back muscle function training, record before treatment and after treatment l, 7, 14, 30 d pain VAS score, l year follow-up the recurrence rate. Results： Two groups after l month of VAS score no significant difference, but l year follow-up recurrence rate in treatment roup was obviously lower compared group. Conclusions： Lumbar back muscle function training help reduce PLD postoperative lumbar intervertebral disc herniation of the recurrence rate is low, improve the long-term effect.