经皮穿刺椎间盘切吸配合金针撬拨治疗腰椎间盘突出症的临床研究  

A CLINICAL STUDY ON THE TREATMENT OF LUMBAR INTERVERTEBRAL DISK HERNIA BY PERCUTANEOUS PUNCTURE DISCECTOMY AND PRYING WITH NEEDLE

作　　者：李现林[1] 李慧英[1] 王韬[1] 汪利合[1] 唐空[1] 邢秋娟[1] 陈星[1] 

机构地区：[1]河南中医学院第一附属医院,郑州450000

出　　处：《中医正骨》2003年第2期9-10,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：选择腰椎间盘突出症患者 5 1例随机分为两组 ,试验组 35例采用经皮穿刺腰椎间盘切吸配合金针撬拨法治疗 ,对照组 16例采用常规的经皮穿刺腰椎间盘切吸的方法 ,在放射线监视、局部麻醉下施术 ,同一疗效评定标准评定。结果试验组治疗优良率为 94 .2 9% ,总有效率为 97.14 % ;对照组优良率为 6 8.75 % ,总有效率为 93.75 % ,对脱出型腰椎间盘突出症的治疗优良率对照组为 4 0 % ,试验组为 83%。经统计学检验 ,试验组疗效优于对照组 (P <0 .0 5 )。Fifty-one cases of lumbar intervertebral disk hernia (LIDH) were randomly divided into the experimental group (n=35 cases) and the control group (n=16 cases), which were treated under X-ray guidance and local anaethesia by percutaneous puncture discectomy (PPD) and prying with needle (PN) and by routine PPD alone, respectively. The therapeutic effects of the two groups were evaluated with the same standard. The results showed that the excellent-good and total-effective rates of the experimental group were 94.29 % and 97.14 %, while those of the control group were 68.75 % and 93.75 %; and the excellent-good rate for prolapsed-type LIDH in the experimental group was 83 % but that in the control group was 40 %. Through the statistical treatment, the experimental group had an advantage over the control in the therapeutic effects (P < 0.05).

关 键 词：经皮穿刺腰椎间盘切吸术 金针撬拨法 腰椎间盘突出症 临床研究 外科手术 治疗 

分 类 号：R246.9[医药卫生—针灸推拿学]