青少年腰椎间盘突出症的诊治分析  

Diagnosis and treatment for lumbar disc herniation in the adolescents

作　　者：彭昊[1] 刘军[1] 刘世清[1] 王刚[1] 梅红军[1] 张向阳[1] 

机构地区：[1]武汉大学人民医院骨科,430060

出　　处：《临床外科杂志》2005年第4期247-248,共2页Journal of Clinical Surgery

摘　　要：目的　探讨青少年腰椎间盘突出症的诊治方法。方法　回顾性分析2 3例青少年腰椎间盘突出症,保守治疗7例,其中3例改手术治疗;手术治疗共19例,其中椎间盘镜髓核摘除术9例,开窗术5例,半椎板切除3例,全椎板切除术2例。结果　随访全部病例,平均随访时间5 .8年,优良率达95 .6%。结论　外伤是造成青少年腰椎间盘突出的主要原因;其临床特征是症状轻,体征明显;临床上应有保持脊柱稳定性的前提下达到临床疗效的思维,选择最适合患者的治疗方法治疗青少年腰椎间盘突出症。Objective To study the diagnosis and treatments for lumbar disc herniation in adolescent. Methods 23 cases of adolescent lumbar disc herniaton were analyzed, among which 7 cases were treated with conservative treatment (3 cases changed to operation), 19 cases with surgical treatment, including 9 cases with Microendoscopic Discectomy(MED),5 cases with partial laminectomy,3 cases with semi-laminectomy ,2 cases with laminectomy. The etiology ,clinical sympotoms,signs and treatments were analyzed. Results All cases were followed-up for 5.8 year in average. The satisfactory rate was 95.6 percent. Conclusion Trauma are the main cause of adolescent lumbar disc herniation. Due to the clinical characteristic of light sympotoms and severe signs, the most suitable treatment for adolescent lumbar disc herniaton should be considered.

关 键 词：青少年 腰椎间盘突出症 诊治 

分 类 号：R681.53[医药卫生—骨科学]