经皮腰椎间盘摘除术联合腰背肌功能训练治疗腰椎间盘突出症的远期疗效  

Long term efficacy of PLD combined with lumbar muscle function training for patients with lumbar in- tervertebral disc herniation

作　　者：张宇虹[1] 黄明勇[1] 何松[1] 

机构地区：[1]湖北医药学院附属随州医院疼痛科,湖北省随州市441300

出　　处：《实用疼痛学杂志》2012年第6期415-417,共3页Pain Clinic Journal

摘　　要：目的观察经皮腰椎间盘摘除术（PLD）联合腰背肌功能训练治疗腰椎间盘突出症的效果。方法腰椎间盘突出症患者730例，随机分为治疗组和对照组。对照组行PLD和局部理疗，治疗组在此基础上给予腰背肌功能训练，记录治疗前和治疗后1、7、14、30d时的VAs评分及1年随访复发率。结果两组术后同期VAS评分差异无统计学意义；随访复发率治疗组明显低于对照组（P〈0．05）。结论腰背肌功能训练有助于降低PLD术后腰椎间盘突出症的复发率，提高远期效果。Objective To observe the long term efficacy of percutaneous lumbar discectomy （PI.D） combined with lumbar muscle function training for the treatment of patients with lumbar in- tervertebral disc herniation. Methods Seven hundred and thirty patients with lumbar intervertebral disc herniation were randomly divided into treatment group and control group. Patients received PI.D and local physical therapy in control group, and adding lumbar muscle function training in treatment group. VAS and the recurrence rate of 1 year follow-up were recorded at 1, 7, 14, 30 d after the treatment. Results No significant difference was found in VAS after the treatment in the two groups. Compared with the control group, the recurrence rate decreased in the treatment group （P〈 0.05）. Conclusion Lumbar muscle function training can reduce the recurrence rate after PLD for the patients with lumbar intervertebral disc herniation, and improve the long-term effect.

关 键 词：腰椎间盘突出症 椎间盘切除术 经皮 腰肌 训练 

分 类 号：R681.53[医药卫生—骨科学]