经皮穿刺腰椎间盘髓核摘除术疗效分析  

Analysis on the results of percutaneous lumbar discectomy for lumbar disc herniation

作　　者：黄强[1] 杨安礼[1] 林兆华[1] 张玉信[1] 姚勐炜[1] 蔡岷巍[1] 樊天佑[1] 金兆麒[2] 

机构地区：[1]上海市杨浦区中心医院骨科,上海200090 [2]上海市杨浦区中心医院放射科,上海200090

出　　处：《临床骨科杂志》2000年第3期192-193,共2页Journal of Clinical Orthopaedics

基　　金：上海市医学领先专业特色专科基金资助项目!(编号 :951 1 0 0 2 )

摘　　要：目的　分析经皮穿刺腰椎间盘髓核摘除术 (PLD)治疗腰椎间盘突出症的疗效。方法　对PLD治疗的 146例腰椎间盘突出症患者病程、年龄与疗效的关系进行分析。结果　经 3～ 42个月随访 ,优良率达 87 67% ,无严重并发症。病程在 2年以内者疗效优于 2年以上者 (P <0 0 1)。结论　手术时机对治疗效果有明显影响 ,而年龄与疗效无明显关系。Objective To analyse the results of percutaneous lumbar discectomy (PLD) for lumbar disc herniation (LDH). Methods 146 cases of LDH were treated with PLD. The history,age and curative effects were analysed. Results 87 67% cases achieved exellent result by 3～42 months of follow up .Those with history of illness under 2 years had better results than the cases with history of over 2 years( P< 0 01).Conclusion The operative opportunity is an important factor influencing curative effects obviously. The age is not obviously correlated with the curative results.

关 键 词：腰椎间盘突出症 椎间盘切除术 治疗 诊断 

分 类 号：R681.530.5[医药卫生—骨科学] R687.3[医药卫生—外科学]