经皮腰椎间盘切割术的疗效与相关因素分析  被引量:7

Percutaneous Lumbar Diskectomt: Analysis of Therapeutic Effect and Related Factors

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作  者:庄文权[1] 黄兆民[1] 钟丽珍[1] 陈伟[1] 

机构地区:[1]广州市中山医科大学附属第一医院放射科,510080

出  处:《放射学实践》1997年第3期95-98,共4页Radiologic Practice

摘  要:目的:通过对169例经皮腰椎间盘切割术(PLD))的病例随访资料分析,总结影响疗效的相关因素。材料和方法:本文对随访资料进行统计学分析,找出各种因素与疗效的相关性。结果:PLD术后总有效率87%,疗效与年龄、椎间盘突出类型、突出指数、髓核切出量及髓核有否变性无明显相关性,与病程有一定的相关性。结论:PLD术后的病人其年龄、椎间盘突出类型、突出指数、髓核切出量及有否变性对疗效影响不大,急性期、有严重外伤史的病例不宜在近期内做PLD治疗。The authors reported the correlation between the therapeutic the and related factors in 169follow-up cases of percutaneous lumbar diskectomy (PLD). Materials and Methods: The correlation be-tween the therapeutic effect and related factors was made by statistical methed in follow-up cases. Results:The overall effective rate was 87%. Except the duration of the episode. those factors as age, type of discherniation, disc herniation index, the amount of diec tissue removed and degeneration of the nucleus pulpo-sus were not obviousely relative to the therapeutic effect. Conclusion:The therapeutic effect was not relativeto patient's age, type of disc herniation, disc heriation index, amount of nucleus pulposus removed and de-generation of nucleus pulposus. Patients with history of severe trauma were not suitable to be taken PLD inacuted stage.

关 键 词:椎间盘移位 放射学 椎间盘突出 腰椎 切割术 

分 类 号:R681.530.5[医药卫生—骨科学] R687.3[医药卫生—外科学]

 

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