中国骨伤2011，Vol.24Issue(7)：578-581,4.DOI:10.3969/j.issn.1003-0034.2011.07.013
腰椎间盘突出类型与其疼痛程度相关性的临床研究
The clinical research of the relation between the pain and the disc herniation type
贺明 1王广斌 1王佳时1
作者信息
- 1. 中国医科大学附属盛京医院脊柱关节外科,辽宁沈阳110004
- 折叠
摘要
Abstract
Objective :To evaluate the preoperative pain degree of lumbar intervertebral disc herniation and analyzed its reason. Methods: From January 2002 to December 2008,265 patients with lumbar intervertebral disc herniation were operated by single segment,of which site in L4,5 was 128 cases and in L5S1 was 137 cases. There were 162 males and 103 female ,ranging in age from 21 to 78 years, with an average of 46.3 years. Oswestry index of all patients was observed before operation. The patients were divided into five groups based on Carragee system(according to degree of nucleus pulposus herniation and degree of fibrous ring cleavage to group,prolapse and liberation of nucleus pulposus with small ring cleavage was group Ⅰ ;prolapse and liberation with large ring cleavage was group Ⅱ ;contained fragment with integrated fibrous ring was group Ⅲ ;no contained fragment with integrated fibrous ring was group Ⅳ ;calcified nucleus pulposus with degenerative fibrous ring was group Ⅴ ).The associativity between five types of lumbar intervertebral disc herniation and preoperative pain degree was analyzed. Results:The preoperative pain in group Ⅰ and group Ⅱ was more severe than that of other groups (P＜0.01 ). The preoperative pain in group Ⅱ was more severe than that of group Ⅰ (P＜0.01 ). Conclusion: Nucleus pulposus can migrated into the spinal canal and will aggravate the nerve root pain ff lumbar intervertebral disc herniation accompanies with fibrous ring cleavage; and freed materials can aggravate the nerve root pain by the chemical factor.关键词
腰椎/椎间盘/椎间盘移位/疼痛Key words
Lumbar vertebrae/ Intervertebral disk/ lntervertebral disk displacement/ Pain引用本文复制引用
贺明,王广斌,王佳时..腰椎间盘突出类型与其疼痛程度相关性的临床研究[J].中国骨伤,2011,24(7):578-581,4.
