半导体激光椎间盘减压术结合平衡整脊手法治疗腰椎间盘突出症临床观察  

Therapeutic Effect of Semiconductor Percutaneous Laser Disc Decompression Combined with Spine-Balancing Manipulations for Lumbar Intervertebral Disc Prolapse

作　　者：吴东明 李戈 李木英 陈斌 陈志盛 

机构地区：[1]广东省湛江市第二中医院,广东湛江524013

出　　处：《广州中医药大学学报》2011年第1期10-12,共3页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察经皮半导体激光腰椎间盘减压术(PLDD)结合平衡整脊手法治疗腰椎间盘突出症的临床疗效。【方法】将腰椎间盘突出症患者136例随机分为3组。A组(治疗组)62例采用PLDD术结合平衡整脊手法治疗,B组(对照1组)43例单纯采用PLDD术治疗,C组(对照2组)31例单纯采用平衡整脊手法治疗。通过6～12个月随访,比较3种治疗方法的临床疗效。【结果】参照MacNab疗效评定标准,术后1个月优良率A、B、C组分别为88.7%、62.7%、64.5%,术后3个月和6个月优良率A组均为93.6%、B组均为72.1%、C组均为70.9%。A组与B、C组比较,差异有显著性意义(P<0.05)。【结论】半导体激光椎间盘减压术结合平衡整脊手法治疗腰椎间盘突出症疗效显著,且术后康复较快。Objective To observe the therapeutic effect of semiconductor percutaneous laser disc decompression （PLDD） combined with spine-balancing manipulations for lumbar intervertebral disc prolapse. Methods One hundred and thirty-six patients with lumbar intervertebral disc prolapse were randomized into 3 groups. Group A （N =62） was given PLDD combined with spine-balancing manipulations, group B （N = 43） was given PLDD, and group C （N = 31 ） was given spine-balancing manipulations. A follow-up covered 6 -12 months. The therapeutic effect was evaluated according to the results of follow-up. Results Subjecting to the MacNab therapeutic criteria, one month after operation the excellent rate was 88.7% in group A, 62.7% in group B, and 64.5% in group C. The excellent rate was 93.6% in group A, 72. 1% in group B, and 70. 9% in group C 3 -6 months after operation. The excellent rate in group A differed from that in groups B and C （P 〈 0.05 ）. Conclusion Semiconductor percutaneous laser disc decompression （PLDD） combined with spine-balancing manipulations exerts certain effect for the treatment of lumbar intervertebral disc prolapse, and can promote the recovery of postoperative patients.

关 键 词：腰椎间盘突出症/治疗 半导体激光汽化减压术 平衡整脊手法 

分 类 号：R681.53[医药卫生—骨科学]