经皮激光椎间盘减压术联合Mckenzie疗法治疗腰椎间盘突出症的临床研究  

CLINICAL STUDY ON PERCUTANEOUS LASER DISC DECOMPRESSION PLUS MCKENZIE THERAPY FOR LUMBAR DISC HERNIATION

作　　者：肖京[1] 金添[1] 顾敏琪[1] 邓磊[1] 马占忠[1] 陈京峰[1] 李治斌[1] 张彦东[1] 

机构地区：[1]中国中医科学院西苑医院骨科,北京100091

出　　处：《中国疼痛医学杂志》2010年第3期139-142,共4页Chinese Journal of Pain Medicine

摘　　要：目的:采用经皮激光椎间盘减压术(Percutaneous Laser Disc Decompression,PLDD)联合Mck-enzie力学诊断技术治疗腰椎间盘突出症,验证两种疗法联合应用对腰椎间盘突出症的早期疗效。方法:选择90例符合PLDD治疗适应症的腰椎间盘突出症患者,随机分为两组,分别采用单纯PLDD,以及PLDD联合Mckenzie力学诊断治疗技术治疗,在治疗前和治疗后1个月、6个月、1年4个时段进行疗效评定。疗效评价方法:(1)改良的Macnab疗效评价;(2)Oswestry功能障碍指数(ODI)。结果:(1)PLDD组与PLDD联合Mckenzie治疗组,术后1个月两者的优良率分别为65%和73%(P>0.05),两组间无差异;术后1年单纯PLDD组的优良率为60%,明显低于PLDD联合Mckenzie治疗组86%(P<0.05)。结论:PLDD围术期须重视腰椎旁软组织功能障碍的治疗。PLDD术后联合Mckenzie力学诊断治疗技术,可明显提高治疗腰椎间盘突出症的早期疗效。Objective： To assess the short and long-term efficacy of percutaneous laser disc decompression（PLDD） combine Mckenzie therapy for patients with lumbar disc herniation.Methods： 90 patients suffered from lumbar disc herniation were seperated in to two groups randomly,and treated with PLDD and PLDD combine Mckenzie therapy respectively.The clinical outcomes were measured before treatment,1 month,6 months and 1 year after treatment.The outcomes of 1 month and 1 year were used as short,and long-term efficacy.The clinical outcomes were measured by Modified Macnab Criteria and Oswestry disability index.Results： The short-term efficacy shows no significant difference in two groups.The long-term efficacy of PLDD Mckenzie was significantly better than PLDD alone.The short-term and long-term outcome of PLDD group was 65% and 60% respectively,compare with 73% and 86% of PLDD Mckenzie group.Conclusions： PLDD was identified as effective therapy for patients with Lumbar disc herniation.Mckenzie therapy postoperatively enhanced the therapeutic efficacy obviously than PLDD alone.It is important to treat the disability of lower back soft tissue among patients with lumbar disc herniation.

关 键 词：腰椎间盘突出症 经皮激光椎间盘减压术 Mckenzie治疗 

分 类 号：R687.3[医药卫生—骨科学]