老年人腰椎间盘突出症
作者：张世民 蒋位庄 周卫 刘昱彰 张禄堂 李星
单位：中国中医研究院骨伤科研究所，北京 100700
关键词：椎间盘移位；外科手术；正骨疗法
中国骨伤000907摘 要：目的探讨老年人腰椎间盘突出症的临床特点和治疗方法。方法分析75例老年人腰椎间盘突出症临床症状、体征和影像学(X线、CT、MRI及腰椎管造影)变化特点。结果经平均30个月的随访，非手术治疗29例，优良率33.3%，手术治疗46例，优良率90%。结论老年人腰椎间盘突出症均为增生狭窄型腰椎间盘突出，突出的方式以破碎游离型为主，手术治疗优于非手术治疗。 Intervertebral lumbar disc herniation of senile person
ZHANG Shi-min ,JIANG Wei-zhuang ,ZHOU Wei
(Institute of Orthopedics and Traumatology, China Academy of TCM Beijing, 100700)
Abstract：Objective To explore the clinical characteristics and treatment methods of intervertebral lumbar disc herniation (LDH) of senile person. Methods The clinical symptoms, signs and typical changes of imaging examinations (X-my,CT,MRI and lumbar spinal canal myekography) of 75 cases of LDH were anal ysed. Surgical or non-surgical treatment methods were adopted according to different types of the lesions. Results The average period of follow-up was 30 months. Of the 75 eases,29 were treated with surgical method and the excellent and good rate was 33.3%, 46 with non-surgical method and the excellent rate was 90%. Conclusion Most LDH in senile persons are of the type of hyperplasia stenosis and the herniations chiefly assume the piecemeal ruptured features. Surgical treatment is the option for the treatment of LDH of the senile individuals.
Keywords：Intervertebral disk displacement Surgery,operative Bone setting
参考文献：
[1]王福根，黄公怡.老年人腰椎间盘突出症的手术治疗.中华老年医学杂志，1987，6(3)：132-133.
[2]蒋位庄，沈志祥，周卫，等.重症椎间盘源性腰腿痛辨证分型.中医杂志，1985，26(7)：29-30.
[3]蒋位庄，沈志祥，周卫，等.中西医结合治疗腰椎间盘突出症218例临床分析.中医杂志，1981，22(12)：30-31.
[4]蒋位庄，王和鸣.中医骨病学.第2版.北京：人民卫生出版社，1998.237-259.
[5]叶启彬，李士英，邱贵兴，脊柱外科新手术.北京：中国协和医科大学、北京医科大学联合出版社，1997.317.
收稿日期：1999-08-26
修稿日期：2000-01-28, 百拇医药
单位：中国中医研究院骨伤科研究所，北京 100700
关键词：椎间盘移位；外科手术；正骨疗法
中国骨伤000907摘 要：目的探讨老年人腰椎间盘突出症的临床特点和治疗方法。方法分析75例老年人腰椎间盘突出症临床症状、体征和影像学(X线、CT、MRI及腰椎管造影)变化特点。结果经平均30个月的随访，非手术治疗29例，优良率33.3%，手术治疗46例，优良率90%。结论老年人腰椎间盘突出症均为增生狭窄型腰椎间盘突出，突出的方式以破碎游离型为主，手术治疗优于非手术治疗。 Intervertebral lumbar disc herniation of senile person
ZHANG Shi-min ,JIANG Wei-zhuang ,ZHOU Wei
(Institute of Orthopedics and Traumatology, China Academy of TCM Beijing, 100700)
Abstract：Objective To explore the clinical characteristics and treatment methods of intervertebral lumbar disc herniation (LDH) of senile person. Methods The clinical symptoms, signs and typical changes of imaging examinations (X-my,CT,MRI and lumbar spinal canal myekography) of 75 cases of LDH were anal ysed. Surgical or non-surgical treatment methods were adopted according to different types of the lesions. Results The average period of follow-up was 30 months. Of the 75 eases,29 were treated with surgical method and the excellent and good rate was 33.3%, 46 with non-surgical method and the excellent rate was 90%. Conclusion Most LDH in senile persons are of the type of hyperplasia stenosis and the herniations chiefly assume the piecemeal ruptured features. Surgical treatment is the option for the treatment of LDH of the senile individuals.
Keywords：Intervertebral disk displacement Surgery,operative Bone setting
参考文献：
[1]王福根，黄公怡.老年人腰椎间盘突出症的手术治疗.中华老年医学杂志，1987，6(3)：132-133.
[2]蒋位庄，沈志祥，周卫，等.重症椎间盘源性腰腿痛辨证分型.中医杂志，1985，26(7)：29-30.
[3]蒋位庄，沈志祥，周卫，等.中西医结合治疗腰椎间盘突出症218例临床分析.中医杂志，1981，22(12)：30-31.
[4]蒋位庄，王和鸣.中医骨病学.第2版.北京：人民卫生出版社，1998.237-259.
[5]叶启彬，李士英，邱贵兴，脊柱外科新手术.北京：中国协和医科大学、北京医科大学联合出版社，1997.317.
收稿日期：1999-08-26
修稿日期：2000-01-28, 百拇医药