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san zhong fang fa zhi liao yao zhui jian pan tu chu zheng de lin chuang guan cha
Author(s): 
Pages: 713-714
Year: Issue:  8
Journal: THE JOURNAL OF PROACTICAL MEDICINE

Keyword:  腰椎间盘突出症腰椎椎间盘切除术;
Abstract: 目的:探讨腰椎间盘突出症的3种治疗方法及适应证.方法:根据临床确诊的478例腰椎间盘突出症不同的治疗方法,分为3组: 非手术治疗组255例,疼痛缓解后进行腰背肌功能锻炼;开放手术组201例,确诊后择期进行手术;显微内窥镜椎间盘切除术(micro endoscopic discetomy,MED)手术组22例 ,确诊后经分析可行此手术者择期手术;以上2组手术患者术后3~7 d开始进行腰背肌锻炼,半年内避免搬重物,平均随访3年.结果:非手术治疗组治愈率90.5%,开放手术治愈率为94.5%,MED手术组治愈率为86.3%.结论:腰椎间盘突出症并非都需要手术治疗,选择治疗方法应根据出现腰腿痛症状的时间长短,有无腰椎管狭窄、侧隐窝狭窄、腰椎滑脱、以及突出的程度、年龄大小来确定.
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