315例腰椎间盘突出症的手术分析  

Surgery Analysis of 315 Cases of Lumbar Disc Herniation

作　　者：徐永宁[1] 罗飞[1] 万忠[1] 

机构地区：[1]四川石油总医院骨科,四川双流610213

出　　处：《中国现代医生》2008年第18期117-117,126,共2页China Modern Doctor

摘　　要：目的探讨腰椎间盘突出症的手术治疗效果。方法对315例腰椎间盘突出症的患者行单侧椎板开窗、切除上位椎板的下1/2和下位椎板的上1/3、全椎板切除或者单侧半椎板切除手术进行椎管减压。结果随访6个月～3年。按照中华骨科学会脊柱学组腰背痛手术评定标准,优283例(89.94%),良31例(9.84%),差1例(0.23%)。结论椎间盘突出症的手术治疗一定要严格掌握手术指征,认真做好每个环节,可以减少并发症和再手术率。Objective To investigate the effect of lumbar disc herniation results of surgical treatment. Methods 315 cases of lumbar disc herniation patients unilateral bored laminectomy. Cut off the upper laminectomy 1/2 and under-laminectomy on the 1/3, the whole laminectomy or unilateral half laminectomy for spinal decompression surgery. Results The follow time was 6 months to 3 years. According to the Chinese Society of Orthopedic Section spine surgery, low back pain assessment standards distinctions 283 cases （89.94%）, good in 31 cases（9.84%） and poor in 1 case（0.23%）. Conclusion The disc herniation surgery must be strictly controlled in surgical indications, and conscientiously carry out every aspect, we can reduce complications and reoperation rate.

关 键 词：腰椎间盘突出症 手术 

分 类 号：R681.5[医药卫生—骨科学]