1551例腰椎间盘突出症治疗经验  

Experiences of Therapy in 1551 Patients with Lumbar Disc Herniation

作　　者：吕原[1] 姚建祥[2] 王秋泰[1] 张宁[1] 郭海燕[1] 张庆彬[1] 赵立新[1] 张伯勋[3] 王继芳[3] 朱盛修[3] 卢世壁[3] 

机构地区：[1]电子工业部402医院骨科,北京市100039 [2]武警总医院 [3]解放军总医院

出　　处：《中国矫形外科杂志》2002年第8期756-758,共3页Orthopedic Journal of China

摘　　要：目的 :总结 3 0年诊断治疗腰椎间盘突出症的经验。方法 :收集 1970～ 1999年完整住院资料 15 5 1例进行分析。其中手术 860例 ,非手术 691例 ,男 10 96例 ,女 45 5例。年龄 15～ 79岁。结果 :非手术治愈率七十、八十、九十年代分别为 10 .0 %、13 .6%、3 8.4%。同期手术治愈率分别为 79.9%、92 .4%、99.3 %。结论 :腰椎间盘突出症是青壮年常见病、多发病 ,临床表现、演变过程、诊断措施、治疗方法以及预后多种多样。程序化系列诊断措施能避免漏诊、误诊和误治。经过正规系统训练 ,掌握临床诊断、手术指征、手术技巧以及术后康复。实践证明 。Objective: To summarize the experience of diagnosis and therapy of lumbar disc herniation in 30 years.Methods:To analyze 1551 patients of integrated clinical data from 1970 to 1999.860 patients accepted operation,nonoperation 691 patients.There were 1096 men and 445 women,aged from 15 to 79.Results:The cure rate of nonoperative treatment in 1970s,1982s,1990s were 10.0%?13.6% and 38.4%.At the same time,the cure rate of operation were 79.9%? 92.4% and 99.3%.Conclusion:Lumbar disc herniation is a frequently encountered disease in youth.Its clinical and diagnostic Workup,treatment and prognosis are diverse.Procedural and serial diagnosis can avoid missed diagnosis,misdiagnosis and mistreatment.When clinical diagnosis,operation indication and operative technique are properly managed by regular and systematic train,the fact shows that operetive treatment is safe and effective.

关 键 词：腰椎间盘突出症 非手术治疗 手术治疗 诊断 

分 类 号：R681.53[医药卫生—骨科学]