椎间孔镜论文：椎间孔镜腰椎间盘突出症补肾活血舒筋汤术后综合症.docVIP

椎间孔镜论文：椎间孔镜 腰椎间盘突出症 补肾活血舒筋汤 术后综合症 【中文摘要】观察椎间孔镜下髓核摘除术治疗腰椎间盘突出症的疗效,对腰椎间盘突出症的不同位置的髓核突出采取适当的手术入路及手术适应症等进行探讨,观察术后腰椎间盘突出症的恢复情况,对椎间孔镜下髓核摘除术治疗腰椎间盘突出症的适应症作进一步的总结。同时对术后症状改善不同的患者进行病情分析,对术后综合症进行探讨。方法：临床资料来源于2010年02月至2011年4月,在江苏省中西医结合医院骨伤科住院并行椎间孔镜下腰椎间盘突出症髓核摘除术。所选病例共40例。术前进行JOA下腰痛评分、视觉模拟评分系统VAS、改良的Macnab评分标准,所得数据进行统计学观察。术后根据情况给于患者口服补肾活血舒筋汤。结果：在临床研究中,根据统计分析报告可得出以下的结果：术前与术后JOA下腰痛评分、VAS视觉模拟评分,改良的Macnab评分标准,分别进行统计学分析,所得数据有统计学差异。按改良Macnab评分标准：优良率95%,按JOA下腰痛评分标准：有效率97.5%。结论：椎间孔镜进行腰椎间盘突出症髓核摘除术,手术可根据病情采取不同入路,对巨大髓核突出、多节段髓核突出等均可选择适合的手术入路并取得良好效果。此技术具有创伤小、适应症广、手术时间短、恢复快等优点。 【英文摘要】Object:The curative effect observation of Intervertebral Foramina Scope nucleus pulposus extirpation treat lumbar intervertebral disc protrusion.The approach to lumbar-intervertebral-disc-protrusion’s differdnt location nucleus pulposus protrusion adopt adquate operative approach and operation indication. follow-up visit overview lumbar intervertebral disc protrusion抯 anastate information after operation. Summary the curative effect of Intervertebral Foramina Scope Technique Treat Lumbar-Intervertebral-Disc-Protrusion.At the same time, carry out patient抯condition analysis to improving different patients, approach the syndrome after operation.Methods:clinical datas come from the 40 orthopedic patients who were in the hospital of traditional chinese medicine and modern medicine in Jiang-su province,these patients actualized Intervertebral Foramina Scope Technique lumbar-intervertebral-disc-protrusion nucleus pulposus removal operation.Carry out JOA lower back pain scores、VAS scores、improved Macnab scores.Carry out statistis overview to datas.According to the condition let patients take orally Kidney-Nourishing-and-Promotingblood-Easytendon Decoction.Results:In clinical research acorrding to statistical analysis report,getting the results:before and after operation JOA lower back pain scores,VAS visual simulation scores,improved Macnab scores.Carrying out statistics analysis, having statistical significance.According