APLD治疗腰椎间盘突出症远期疗效观察  

Observation of long-term curative effect of lumbar disc herniation treaded by APLD

作　　者：车坚[1] 张鹏[1] 袁东堂[1] 

机构地区：[1]南京医科大学附属淮安第一医院,江苏淮安223300

出　　处：《颈腰痛杂志》2002年第3期190-192,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的　分析经皮穿刺腰椎间盘切吸术 (APL D)治疗腰椎间盘突出症远期疗效下降的原因并探讨相应处理措施。方法　通过 2年以上病例随访及回顾 ,观察比较近期、远期疗效。结果　随着时间延长 ,部分病例疗效下降。结论　术中摘取足够多的髓核组织及合理的术后康复锻炼是提高 APL D远期疗效的关键。对经 CT确诊为腰椎间盘突出症合并有腰椎管狭窄的患者 ,在予轴位牵引下直腿抬高试验检查后 ,对属可逆性腰椎间盘突出症患者 ,使用 APLObjective To analize the reasons of late result desecending of lumbar disk herniation treaded by automated percutaneous lumbar discectomy (APLD) and to enquire the corresponding measurment.Methods Following-up for more than 2 years, the shot-term and long-term curative effect had been observed and compared retrospectively.Results As time went on, the curative effect of some cases desecended.Conclusion The key of improving long-term effect of APLD is to excise enough pulpiform nucleus tissue and reasonable rehabilitative exercise after operation. Using APLD, the long-term effect is satisfied to the patients which suffering from reversible lumbar disk herniation accomplicated by lumbar spinal cannal stenosis after they had been checked by axial traction-straight leg raising test.

关 键 词：APLD 治疗 腰椎间盘突出症 疗效观察 经皮腰椎间盘切吸术 

分 类 号：R681.53[医药卫生—骨科学]