经皮腰椎间盘髓核摘除术患者的随诊  

Effect of Follow-up on Patients with Percutaneous Lumbar Discectomy after Discharge

作　　者：邹孟群 蓝健君 陈志佳 

机构地区：[1]广州市番禺区大石人民医院病案室 [2]广州市番禺区大石人民医院放射科

出　　处：《中国病案》2010年第12期17-18,共2页Chinese Medical Record

基　　金：广州市番禺区2010年科技引导项目;编号:2010-Z-103-1

摘　　要：目的探讨适合农村社区腰椎间盘突出症人群的最佳治疗方式。方法追踪26例行经皮腰椎间盘髓核摘除术(percutaneous lumbardiskectomy,PLD)患者的治疗效果及术后疾病发展趋势,与传统药物理疗法进行比较。结果 26例术后均获得随诊,平均随诊时间19个月,24例临床症状完全消失,2例临床症状得到明显改善,手术显效率为100%,复发率为0,椎间盘还纳1mm^4mm,26例患者均能恢复原来的工作和生活。经皮腰椎间盘髓核摘除术与传统药物理疗法复发率比较,差异有统计学意义(P<0.005)。结论经皮腰椎间盘髓核摘除术是安全有效经济易行的技术,便于在农村社区推广应用,社区康复干预能明显提高经皮腰椎间盘髓核摘除术的远期疗效。Objective To investigate the effects of medical records followup on improving the efficacy of patients with percutaneous lumbar discectomy（PLD） in order to evaluate the practicability and feasibility of PLD.Methods A total of 85 patients were diagnosed as lubar intervertebral disc protrusion through CR or CT,of these,26 patients underwent PLD,follow-up was conducted at 2 weeks,3 months,6 months,12 months and 24 months after operation to evaluate the functional rehabilitation of pain in waist and legs,and 29 patients selected traditional physiotherapy and medication.Results The efficiency rate of operation was 100% in observation group,and recurrence rate was 0%,which had significant difference（P0.005）.Conclusion PLD is suitable for popularization and application in rural communities.Medical records follow-up after discharge is conducive to observing the efficacy of operation,especially for the long-term efficacy,which also can enhance the compliance to medical orders of patients.

关 键 词：随诊 农村社区 腰椎间盘 经皮髓核摘除术 

分 类 号：R681.53[医药卫生—骨科学]