Objective To explore the recent and distant effects of early active training after the operation for lumber intervertebral disc herniation.Method 79 patients after the operation for mono segmental lumber intervertebra...Objective To explore the recent and distant effects of early active training after the operation for lumber intervertebral disc herniation.Method 79 patients after the operation for mono segmental lumber intervertebral disc herniation had been divided into early active training group and routine control group randomly, and accepted training, regular re-examination, and follow-up of 1～6 years respedtively.Results The early active training group had better recent and distant objective effect, and more patients (97.6%) were satisfied with the operational effects.Conclusions The early active training after the operation for lumber intervertebral disc herniation is positive significant for operational effects.展开更多
背景术后留置引流有利于减轻局部血肿、减小切口张力、缓解术后疼痛、加快术后康复等,但同时也存在着增加伤口感染概率等风险。对于经皮脊柱内镜腰椎间盘切除术后是否需放置引流尚无相关文献报道。目的分析脊柱内镜术后留置引流管的临...背景术后留置引流有利于减轻局部血肿、减小切口张力、缓解术后疼痛、加快术后康复等,但同时也存在着增加伤口感染概率等风险。对于经皮脊柱内镜腰椎间盘切除术后是否需放置引流尚无相关文献报道。目的分析脊柱内镜术后留置引流管的临床疗效,为进一步完善手术流程和术后康复方案提供数据支持。方法收集2018年11月-2020年12月解放军总医院海南医院骨科收治的140例单纯腰椎间盘突出症行脊柱内窥镜手术治疗患者的临床资料。按是否进行引流分为引流组和非引流组,观察分析两组术后感染率、术后血肿形成率、术前与术后疼痛视觉模拟评分(visual analog scale,VAS)。结果引流组70例,男性54例,女性16例,平均年龄(46.83±16.31)岁;非引流组70例,男性45例,女性25例,平均年龄(47.6±17.46)岁。140例患者均获得3个月随访。两组术后1周VAS评分,非引流组显著高于引流组(P<0.05)。术后15 d、术后3个月VAS评分,两组差异无统计学意义(P>0.05)。术后随访非引流组有1例出现术后血肿,引流组无血肿形成病例。两组均无术后感染病例。结论脊柱内镜术后留置引流对于降低患者术后血肿形成和减轻术后疼痛有一定作用。展开更多
Objective: To discusses the surgical treatment of prolapsed lumber intervertebral disc in adolescents and its long-term results (PLID). Background: PLID is very rare in adolescence. Heavy lifting and trauma are the ma...Objective: To discusses the surgical treatment of prolapsed lumber intervertebral disc in adolescents and its long-term results (PLID). Background: PLID is very rare in adolescence. Heavy lifting and trauma are the main causes;back pain and radicular pain are the most common clinical presentations, and surgical treatment gives satisfactory outcome after failure of conservative treatment. Methods: During period from January 2014-January 2019 twenty patients between 14 - 20 years old underwent for lumbar disc surgery in Neurosurgery department, Hadramawt University, Yemen, 18 patients were males while 2 were females. Results: Twenty patients 18 males (80%) while 2 females (20%) all patients have low back pain (100%), unilateral sciatica in (90%), bilateral sciatica in (10%) and sphincter disturbance in (10%). The most common affected level is L4/5 represent (80%) while L5/S1 (20%), partial lumbar laminectomy in (40%) and microdiscectomy and fenestration in (60%). Complication rate was (15%) and recurrence only (5%). Conclusion: PLID in adolescence is very rare;back pain and sciatica were the main clinical presentation. Meticulous surgical procedures give satisfactory outcome and excellent result.展开更多
目的:观察神经妥乐平对腰椎间盘突出术后残余神经症状的疗效。方法:腰椎间盘突出术后患者仍有残留神经症状,VAS评分在5分以上的患者46例,分为神经妥乐平组和安慰剂组各23例。神经妥乐平组给予神经妥乐平7.2NU+0.9%NS 100m l静脉点滴,连...目的:观察神经妥乐平对腰椎间盘突出术后残余神经症状的疗效。方法:腰椎间盘突出术后患者仍有残留神经症状,VAS评分在5分以上的患者46例,分为神经妥乐平组和安慰剂组各23例。神经妥乐平组给予神经妥乐平7.2NU+0.9%NS 100m l静脉点滴,连续10天;安慰剂组患者给予0.9%NS 100m l静脉点滴,连续10天。观察两组患者在术后的疼痛和麻木感变化情况。结果:术后7、14、21、28天两组间疼痛有显著性差异。术后28天时两组的显效率为68.4%、33.2%;有效率为95.6%、55.6%;46例患者中有30例有麻木症状,术后7、14、21、28天两组间麻木有显著性差异,术后28天时两组的显效率分别为50.0%、18.0%;有效率为66.6%、25.0%。结论:神经妥乐平对腰椎间盘突出术后残留的疼痛感和麻木感有缓解的效果。展开更多
文摘Objective To explore the recent and distant effects of early active training after the operation for lumber intervertebral disc herniation.Method 79 patients after the operation for mono segmental lumber intervertebral disc herniation had been divided into early active training group and routine control group randomly, and accepted training, regular re-examination, and follow-up of 1～6 years respedtively.Results The early active training group had better recent and distant objective effect, and more patients (97.6%) were satisfied with the operational effects.Conclusions The early active training after the operation for lumber intervertebral disc herniation is positive significant for operational effects.
文摘背景术后留置引流有利于减轻局部血肿、减小切口张力、缓解术后疼痛、加快术后康复等,但同时也存在着增加伤口感染概率等风险。对于经皮脊柱内镜腰椎间盘切除术后是否需放置引流尚无相关文献报道。目的分析脊柱内镜术后留置引流管的临床疗效,为进一步完善手术流程和术后康复方案提供数据支持。方法收集2018年11月-2020年12月解放军总医院海南医院骨科收治的140例单纯腰椎间盘突出症行脊柱内窥镜手术治疗患者的临床资料。按是否进行引流分为引流组和非引流组,观察分析两组术后感染率、术后血肿形成率、术前与术后疼痛视觉模拟评分(visual analog scale,VAS)。结果引流组70例,男性54例,女性16例,平均年龄(46.83±16.31)岁;非引流组70例,男性45例,女性25例,平均年龄(47.6±17.46)岁。140例患者均获得3个月随访。两组术后1周VAS评分,非引流组显著高于引流组(P<0.05)。术后15 d、术后3个月VAS评分,两组差异无统计学意义(P>0.05)。术后随访非引流组有1例出现术后血肿,引流组无血肿形成病例。两组均无术后感染病例。结论脊柱内镜术后留置引流对于降低患者术后血肿形成和减轻术后疼痛有一定作用。
文摘Objective: To discusses the surgical treatment of prolapsed lumber intervertebral disc in adolescents and its long-term results (PLID). Background: PLID is very rare in adolescence. Heavy lifting and trauma are the main causes;back pain and radicular pain are the most common clinical presentations, and surgical treatment gives satisfactory outcome after failure of conservative treatment. Methods: During period from January 2014-January 2019 twenty patients between 14 - 20 years old underwent for lumbar disc surgery in Neurosurgery department, Hadramawt University, Yemen, 18 patients were males while 2 were females. Results: Twenty patients 18 males (80%) while 2 females (20%) all patients have low back pain (100%), unilateral sciatica in (90%), bilateral sciatica in (10%) and sphincter disturbance in (10%). The most common affected level is L4/5 represent (80%) while L5/S1 (20%), partial lumbar laminectomy in (40%) and microdiscectomy and fenestration in (60%). Complication rate was (15%) and recurrence only (5%). Conclusion: PLID in adolescence is very rare;back pain and sciatica were the main clinical presentation. Meticulous surgical procedures give satisfactory outcome and excellent result.
文摘目的:观察神经妥乐平对腰椎间盘突出术后残余神经症状的疗效。方法:腰椎间盘突出术后患者仍有残留神经症状,VAS评分在5分以上的患者46例,分为神经妥乐平组和安慰剂组各23例。神经妥乐平组给予神经妥乐平7.2NU+0.9%NS 100m l静脉点滴,连续10天;安慰剂组患者给予0.9%NS 100m l静脉点滴,连续10天。观察两组患者在术后的疼痛和麻木感变化情况。结果:术后7、14、21、28天两组间疼痛有显著性差异。术后28天时两组的显效率为68.4%、33.2%;有效率为95.6%、55.6%;46例患者中有30例有麻木症状,术后7、14、21、28天两组间麻木有显著性差异,术后28天时两组的显效率分别为50.0%、18.0%;有效率为66.6%、25.0%。结论:神经妥乐平对腰椎间盘突出术后残留的疼痛感和麻木感有缓解的效果。
文摘目的:系统评价补益肝肾、活血化瘀类中药复方治疗腰椎间盘突出症(LDH)的疗效,为临床提供循证参考。方法:计算机检索中国期刊全文数据库、中文科技期刊数据库、万方数据库、Pub Med、Springer、Medline,纳入补益肝肾、活血化瘀类中药复方(试验组)对比其他疗法(未使用补益肝肾、活血化瘀类中药复方,对照组)治疗LDH的随机对照试验(RCT)和临床对照试验(CCT),提取资料并根据改良Jadad评分量表评价纳入研究质量后,采用Rev Man 5.3统计软件进行Meta分析。结果:共纳入39项RCT,合计3 921例患者。Meta分析结果显示,试验组患者总体有效率[OR=4.41,95%CI(3.55,5.48),P<0.001]显著高于对照组,视觉模拟疼痛(VAS)评分[MD=-1.05,95%CI(-1.49,-0.62),P<0.001]、Oswestry功能障碍指数问卷表(ODI)评分[MD=-4.36,95%CI(-8.14,-0.58),P=0.02]均显著低于对照组,差异均有统计学意义。两组患者日本骨科协会评估治疗(JOA)分数比较差异无统计学意义[MD=1.48,95%CI(-1.41,4.37),P=0.32]。结论:补益肝肾、活血化瘀类中药复方治疗LDH疗效较好,可以明显改善患者腰背部疼痛及下肢麻木、放射痛等不适症状。
