后路髓核摘除术治疗腰椎间盘突出症  

作　　者：赵海军 曹启云 

机构地区：[1]山东省菏泽市第三人民医院骨外科,274031

出　　处：《中国实用医药》2008年第10期85-86,共2页China Practical Medicine

摘　　要：目的探讨后路手术治疗腰椎间盘突出症术后脊柱的稳定性,降低并发症的发生率,减少远期并发症的发生。方法后路手术32例,其中全椎板切除18例,非全椎板切除14例,对两术式后脊柱的稳定性进行比较,所获数据经χ2检验。结果18例全椎板切除有3例出现并发症,其发生率为16·7%,非全椎板切除的14例中只有1例出现并发症,两组比较P<0·05。结论在做髓核摘除术时,尽量少切除椎板以增加其稳定性,减少并发症的发生。Objective To study the spinal stability after removal of nuclers pulposus caused by protrusion of posterior intervertebral disc,and decrease the incidence of complications and late complications. Methods 32 patients with protrusion of posterior intervertebral disc were treated with removal of nuclers pulposus; 18, removal of total vertebral lamina and 14, removal of incomplete vertebral lamina. The comparison of stability was made between the two groups,and the data were tested with X2. Results The complications occurred in 3 out of 18 pa-tients treated with removal of total vertebral lamina, and the innncidence rate was 16.7% , the complications occurred in one of 14 patients treated with removal of incomplete vertevral lamina. There was a significant difference（P 〈 0.05 = between the two groups. Conclusion During removal of nuclers pulposus the vertevral lamina should be as small as plssible in order to increase the stability and decrease the incidence of complications.

关 键 词：腰椎间盘突出症 后路髓核摘除术 后路手术治疗 远期并发症 全椎板切除 Χ^2检验 稳定性 发生率 

分 类 号：R687.3[医药卫生—骨科学]