腰椎间盘突出症保守治疗与手术治疗时机探讨  

Study on the timing of conservative treatment and operation treatment for lumbar disc herniation

作　　者：王宏秀[1] 陈舜喜[1] 宋林[1] 

机构地区：[1]厦门大学附属福州第二医院康复医学科,福州350007

出　　处：《中国实用医刊》2014年第20期42-43,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨腰椎间盘突出症保守治疗与手术治疗时机的选择。方法回顾性分析2012年5月至2013年8月收治的120例腰椎间盘突出症患者的临床资料，94例（78.33%）患者行保守治疗，以针灸、牵引、推拿按摩、物理、药物治疗为主，26例（21.67%）患者行手术治疗，以半椎板切除术和开窗法为主。评估治疗前后患者症状与体征的变化情况和日常生活能力的恢复情况，对比治疗效果。结果研究组治疗总有效率为91.48%，对照组为92.30%，差异无统计学意义（P ﹥0.05）。结论腰椎间盘突出症保守治疗与手术治疗效果相当，关键在于治疗过程中严格掌握好禁忌证，把握好治疗时机的选择，以达到改善患者腰椎功能的目的。Objective To investigate the timing options of conservative treatment and operation treatment for lum-bar intervertebral disc. Methods From May 2012 to August 2013,the clinical data of 120 patients with lumbar disc herni-ation were retrospectively analyzed. Ninety-four patients（78. 33% ）underwent conservative treatment,mainly including ac-upuncture,traction,massage therapy,physical therapy and drug therapy. Twenty-six patients（21. 67% ）underwent opera-tion treatment,the proportion was 21. 67% ,mainly including semi laminectomy and windowing method. Before and after treatment,the changes of symptoms and signs and recovery daily living were evaluated,and the treatment effects were com-pared. Results The total effective rate was 91. 48% in the treatment group and 92. 30% in the control group,there was significant difference（P ﹥ 0. 05）. Conclusions The curative effects of conservative treatment and operation treatment for lumbar disc are the same. The key lies in strict master of contraindications in the treatment process,grasp the timing of treatment options,in order to improve the lumbar function of patients.

关 键 词：腰椎间盘突出症 保守治疗 手术治疗 禁忌证 治疗时机 

分 类 号：R687.3[医药卫生—骨科学]