1731例经皮腰椎间盘切除术的临床随访研究  

Percutaneous lumbar discectomy:clinical study in 1731 cases

作　　者：庄文权[1] 陈伟[1] 杨建勇[1] 郭文波[1] 黄勇慧[1] 张翎[1] 

机构地区：[1]中山大学附属第一医院放射科,广州510080

出　　处：《中华放射学杂志》2002年第4期309-312,共4页Chinese Journal of Radiology

基　　金：广东省卫生厅高难;高新医疗项目 (C2 0 0 0 0 13)

摘　　要：目的　回顾性分析 1731例经皮腰椎间盘切除术 (PLD)的病例 ,总结PLD的中远期疗效及其主要并发症的防治。方法　对 1991年 2月至 2 0 0 1年 3月在我院接受PLD治疗的 1731例病人进行回顾性总结 ,对 472例随访 3～ 5年的病例作了中期疗效分析 ;对 385例随访 6～ 9年的病例作了远期疗效分析。研讨了PLD术后腰痛加重的防治方法。结果　PLD中期有效率为 86 7% ,远期有效率为 78 2 %。术后腰痛加重与腰肌痉挛、小关节绞锁有关。结论　经皮腰椎间盘切除术是 1种安全有效、康复快、并发症少的治疗腰椎间盘突出症的微创方法 ,值得在临床上推广应用。Objective To study the medium term and long term therapeutic effect of percutaneous lumbar discectomy (PLD), and to evaluate the prevention and treatment of its complications by retrospectively analyzing 1 731 cases who received PLD procedure Methods 1 731 PLD procedures performed from Feb 1991 to Mar 2001 were retrospectively studied The medium term therapeutic effect in 472 cases followed from 3 to 5 years and the long term effect in 385 cases followed from 6 to 9 years were analyzed The prevention and treatment of the aggravating lumbodynia after PLD were also investigated Results The medium term and long term effective rate was 86 7% and 78 2%, respectively The aggravating lumbodynia after PLD was related to psoas muscle spasm and lumbar small joint disorder Conclusion PLD is an effective, safe, and minimal invasive treatment method with less complications

关 键 词：经皮椎间盘切除术 腰椎间盘突出症 疗效 并发症 

分 类 号：R681.53[医药卫生—骨科学]