微创手术治疗腰椎间盘突出症156例临床观察与护理探讨  

Nursing Inquiry and Clinical Observation of 156 Cases Operated lumbar Disc Herniation by Minimally-invasive Surgical Treatment

作　　者：都香莲[1] 饶义[1] 赵丽萍[1] 

机构地区：[1]大理学院红会教学医院骨科,云南昆明650021

出　　处：《大理学院学报（综合版）》2005年第1期86-88,共3页Journal of Dali University

摘　　要：目的:探讨156例用微创手术治疗腰椎间盘突出症病人的护理方法及康复锻炼的方法及经验。方法:2000年5月至2004年5月,对不同类型的腰椎间盘突出症患者,采用微创手术治疗腰椎间盘突出症156例,效果显著。结果:本文通过临床观察与护理,随访1-13mo,平均6.8mo,按NaKai标准评定:优102例,良38例,可19例,差3例,均无复发。结论:腰椎间盘镜微创手术系统综合了开放式手术和微创手术的优势,对治疗腰椎间盘突出症,具有手术创伤轻,保持脊柱的完整性,而且出血少,卧床时间短,恢复快,治疗彻底的特点。同时为患者实施全面的整体护理、健康指导、及早期功能锻炼,是腰椎间盘突出术后病人早期康复的关键。Objective: Requiring nursing, recovery exercising method and nursing experience of 156 cases operated lumber disc herniation by minimally-invasive surgical treatment. Method: From may 2000 to may 2001, oberserving and nursing 156 patients operated lumbar disc herniation by minimally-invasive surgical treatment. Result: By clinical observation and nursing, as well as visiting them after operation from one month to thirteen months. Each patient is 6.8 months. According to Nakai standard, revaluation 102 case one excallent, 38 cases good, 19 cases basic, 3 cases poor, all doesn' t recur. Conclusion: The technology of lumber disc herniation operation synthesizes advantage of opening surgical treatment and minimally-invasive surgical treatment. These advantages for treating lumbar disc herniation are: small cut, retaining perfection of lumbar vertebrae, less bleeding, short bedding time, quick recovery and perfect cure. Meanwhile it is key to recovery of patient operated with lumbar disc herniation and to carrying out whole-body nursing, healthy instruction as well as early functional exercising.

关 键 词：腰椎间盘镜 腰椎间盘突出 护理 功能锻炼 微创手术 临床观察 

分 类 号：R681.53[医药卫生—骨科学]