重症腰间盘突出患者的手术治疗效果探讨

Therapeutic Effect of Surgery on Patients with Severe Spinal Disc Herniation

目的探讨重症腰间盘突出患者的手术治疗效果。方法选取我院收治的重症腰间盘突出症患者30例，所有患者均在全麻的状态下。取俯卧位于脊柱手术台上进行手术治疗。手术后保持卧床休息15—20天之后方可下床活动，下床活动时需要佩戴腰部支具．并且叮嘱患者不要进行弯腰动作，对腰围处进行为期4～7个月时间的保护。结果经临床手术治疗，30例患者中有25例患者痊愈．治愈率为83．3％：有5例患者有效，有效率为16．7％；临床治疗的总有效率为100％。结论椎弓根固定融合术治疗重症腰间盘突出具有能够同时为患者提供前、中柱的支持。并且能够很好地从患者的x光片中对骨性融合进行辨别的临床优势，能够取得较为理想的临床效果，值得在临床上进行推广应用。

Objective To discuss the therapeutic effect of surgery on patients with severe spinal disc herniation. Methods Thirty patients with severe spinal disc herniation treated in this hospital received the surgery on the operating table in prone position under the general anesthesia. After the operation, patients should rest on bed for 15 - 20 days before out-of-bed activity. When getting out of bed for activities, they should wear the spinal support and should not bend down, with the protection of waist for 4 ~ 7 months. Results After the surgery, 25 of 30 patients were recovered, with the curative rate of 83.3%; 5 of them were effective, with the effective rate of 16.7%. The total effective rate of clinical treatment was 100%. Conclusions The pedicle screw fixation in the treatment of severe spinal disc herniation can provide the support for anterior and middle columns of patients and also clearly distinguish the bony fusion fi＇om X-ray film of patients. It has ideal clinical effect and thus is worthy to be popularized in the clinical practice.