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极外侧型腰椎间盘突出症的临床特征及治疗

孟增东 胡彪 雷云坤 李俊昌 刘思波 陈一沧

昆明医学院学报2011,Vol.32Issue(11):124-127,4.
昆明医学院学报2011,Vol.32Issue(11):124-127,4.

极外侧型腰椎间盘突出症的临床特征及治疗

The Clinical Characteristics and Treatment of Far Lateral Lumbar Disc Herniation

孟增东 1胡彪 1雷云坤 1李俊昌 2刘思波 1陈一沧1

作者信息

  • 1. 昆明医学院附属昆华医院,云南省第一人民医院骨科,云南昆明650032
  • 2. 云南省易门县人民医院外二科,云南昆明 651200
  • 折叠

摘要

Abstract

Objective To study the clinical characteristics of far lateral lumbar disc herniation (FLLDH) and the appropriate operation way. Methods Thirteen patients with far lateral disc herniation were divided into two types by the place of herniated disc, that was foraminal disc herniation and extraforaminal disc herniation. The patients with foraminal disc herniation were treated with posterior lumbar interbody fusion (PLIF) while the patients with extraforaminal disc herniation were treated with intertransverse approach discectomy (IAD). Results All cases were observed for 6 to 24 months (average 18 months). Clinical outcomes were assessed by Macanab and Visual Analogue Score ( VAS). The postoperative overall excellent and good rate wre 92.31%. The average preoperative leg pain VAS score was 8 points, 1.4 points after surgery, low back pain VAS score was 1.6 points before surgery, 1 points after surgery. Conclusions The patients with far lateral lumbar disc herniation should be treated with different operations according to its types, choosing a appropriate operative way is a key to get satisfactory result.

关键词

极外侧型腰椎间盘突出症/分型/手术治疗

Key words

Far lateral lumbar disc herniation/ Classification/ Surgical treatment

分类

医药卫生

引用本文复制引用

孟增东,胡彪,雷云坤,李俊昌,刘思波,陈一沧..极外侧型腰椎间盘突出症的临床特征及治疗[J].昆明医学院学报,2011,32(11):124-127,4.

昆明医学院学报

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