Yu Lei-jun, Song Hong-pu, Zhang Chun
Department of Orthopaedics and Traumatology, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhe-jiang, China.
Zhongguo Gu Shang. 2009 Apr;22(4):249-50.
To evaluate the short and long term results of discectomy for lumbar intervertebral disc herniation.
From 2000 to 2007, 400 patients (male 220 and female 180, the age was from 16 to 73 years old with an average of 42.3 years) with lumbar intervertebral disc herniation underwent discectomy by posterior mini-incision less than 5 cm and vertebrae plate was ectomized in 2 cm x 2 cm winder,and nerve root was compressied. The short and long term clinical result were analyzed with SPSS 10.0 software.
Three hundred and eighty patients were followed up in the short term (less than 2 years after operation), 308 cases obtained excellent result, 48 good, fair 24, the excellent and good rate was 93.7%. Three hundred and forty-eight patients were followed up in the long term (more than 3 years after operation), 244 cases obtained excellent result, 48 good, fair 56,the excellent and good rate was 83.9%. There was significant difference in follow-up between the short and long term (P < 0.05).
The clinical effect of discectomy for lumbar intervertebral disc herniation decreased with time lapse.
评估腰椎间盘突出症椎间盘切除术的短期和长期效果。
2000年至2007年，400例腰椎间盘突出症患者（男220例，女180例，年龄16至73岁，平均42.3岁）接受了小于5厘米的后外侧小切口椎间盘切除术，切除2厘米×2厘米范围的椎板，神经根受压。使用SPSS 10.0软件分析短期和长期临床结果。
380例患者进行了短期随访（术后不到2年），308例效果优异，48例良好，24例一般，优良率为93.7%。348例患者进行了长期随访（术后超过3年），244例效果优异，48例良好，56例一般，优良率为83.9%。短期和长期随访结果有显著差异（P < 0.05）。
腰椎间盘突出症椎间盘切除术的临床效果随时间推移而下降。
