游离型腰椎间盘突出症的诊断和治疗──附48例报告

The Diagnosis and Treatment of isolated lumbar disc protrusion - A Report of 48 cases

目的 提高对游离型腰椎间盘突出症的诊断治疗水平。方法 回顾分析４８例手术证实的游离型腰椎间盘突出症的临床特点、影像学所见及治疗经过。结果 本症的发病年龄较轻，平均３４．５岁，临床症状较复杂、疼痛较重，同时伴有括约肌功能障碍等。结论 临床表现及影像学所见提示为游离型腰椎间盘突出症者，特别是有马尾神经损伤者应尽早手术，清除游离的髓核组织。

Objective To enhance the ability to diagnose and treat isolated lumbar disc protrusion. Meth- ods 48 cases of isolated lumbar disc protrusion confirmed by surgery were reviewed. Results The disease was characterized by younger patients with an average of 34 .5 years, bad pain and concomitant disturbance of sphincter. Conclusion Once isolated lumbar disc protrusion was suspected, operation should be performed as early as possible.