髓核成形术治疗腰腿痛患者的选择(附45例临床初步报告)

The option of nucleoplasty for treating patients with low back and leg pain

中文关键词:  椎间盘源性下腰痛,腰椎间盘突出症,髓核成形术

中文摘要:

  目的:探讨髓核成形术治疗腰腿痛患者的最佳适应证。方法:应用髓核成形术治疗45例腰腿痛患者,男26例,女19例,平均年龄32岁(18~46岁),病程平均2年(5个月~4年),其中腰痛伴有下肢放射痛40例。手术前先进行椎间盘造影,然后行髓核成形术治疗,比较手术前后疼痛症状并进行疗效评定。结果:术后随访3~20个月,平均12个月。优良率为80%(36例);腰痛伴有下肢放射痛者有效率为85%;椎间盘造影阳性者有效率为92%。无效8例,术后加重1例。结论:在下列情况下应用髓核成形术治疗腰腿痛患者将提高临床的有效率:(1)腰痛伴有下肢放射痛症状的患者;(2)影像学上表现为侧方小的椎间盘突出,以神经根刺激症状为主要症状者;(3)椎间盘造影阳性的患者。

英文摘要:

  Objective:To identify the best indications of nucleoplasty in treating patients with low back and leg pain.Method:Forty-five patients with low back pain(40 cases of them with leg pain at same time) were treated with nucleoplasty and were followed up for a