少年腰椎间盘突出症  

The lumbar intervertebral disc herniation in adolescents

作　　者：巢金林[1] 童立苗[1] 潘俊[1] 眭杰[1] 眭川洪 

机构地区：[1]解放军第102医院,江苏常州213003

出　　处：《颈腰痛杂志》2009年第3期227-229,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨14岁以下少年腰椎间盘突出症发病机理和临床特征及治疗。方法8例中,6例正规保守治疗,2例单侧开窗突出髓核及软骨板切除。结果8例全部经5年以上随访疗效优良。结论外伤是青少年腰椎间盘突出症的主要病因;症状与体征的不相平行是其临床特点;治疗上主张正规保守治疗,但少数保守治疗3月以上无效、症状体征重者,手术仍是治疗方法之一。Objective To explore the etiological factor and the treatment of lumbar intervertebral disc herniation in adolescents younger than 14 years old. Methods In 8 cases,6 cases had normal conservative treatment. 2 cases bad undergone the fenestration and discectomies. Results All of them received excellent resuhs altar follow-up of five years. Conclusion For the lumbar intervertebral disc herniation in adolescents,the chief cause is lumbar injury. The clinical feature is mild symptom and serious physical sign. Usually, conservative treatment should be considered as a chief treatment method. Surgical treatment is suggested for those had no effect after over 3 months＇ s sconservative treatment,or for those had serious symptom and physical sign.

关 键 词：少年 腰椎间盘突出症 保守治疗 手术 

分 类 号：R681.53[医药卫生—骨科学]