老年腰椎间盘突出症的特点及外科治疗  

The Characteristics and Surgical Treatment of Lumbar Disc Protrusion in Senior Citizens

作　　者：曾守立 苏国庆[1] 杨虎林[1] 

机构地区：[1]广东省东莞市长安医院外二科,523843

出　　处：《实用全科医学》2005年第4期329-330,共2页Applied Journal Of General Practice

摘　　要：目的探讨老年腰椎间盘突出症患者的临床特点和外科治疗。方法对56例60岁以上老年腰椎间盘突出症患者临床特点和外科治疗进行回顾性分析。结果56例患者均安全度过围手术期,进行2个月～8年的随访。其中优31例,良20例,可3例,差2例,优良率91.1%。结论老年腰椎间盘突出症患者患病率增加,临床表现有自身特点。术前要有充分的认识,有目的地采取各种措施,绝大部分患者可以安全度过围手术期,早期行功能锻炼,尽快康复,提高生活质量。Objective To probe into the characteristics and surgical treatment of lumbar disc protrusion in senior citizens. Methods The clinical characteristics and surgical treatment of 56 senior patients with lumbar disc protrusion in recent 10 years were analyzed retrospectively. Results All patients lived through their perioperative period and followed-up in two months to eight years .The average was 4.6 years. 31 patients recovered excellently, 20 patients were good, 3 patients were mediocre and two cases were bad. 91.1% of patients recovered well. Conclusions The morbidity rate of lumbar disc protrusion in senior citizens is increasing and its clinical situation has special characteristics. The knowledge of it should be known and the proper treatment should be performed in senior patients. Most patients can live through their perioperative period. Earlier functional training can improve their quality of life.

关 键 词：腰椎间盘突出症 外科治疗 60岁以上老年 临床特点 围手术期 回顾性分析 临床表现 功能锻炼 生活质量 安全度 患者 优良率 患病率 

分 类 号：R681.53[医药卫生—骨科学] R687.4[医药卫生—外科学]