高位腰椎间盘突出症的诊疗分析.doc

高位腰椎间盘突出症的诊疗分析.docThe analysis of diagnosis and treatment of the upper lumbar disk herniation Abstract
The analysis of diagnosis and treatment of the upper
lumbar disk herniation
Abstract
Part 1 Surgical treatment of upper lumbar intervertebral disc herniation
Objective: To explore the clinical characteristics and surgical approaches of the upper
lumbar disc herniation.
Methods: This paper retrospectively studied 36 hospitalized patients with upper
lumbar disk herniation from 2009 to 2013. The curative effect was evaluated by modified
ab standard. Data was quantified by ODI and VAS score standard and was analyzed
by statistical software. The SUK standard and puting method reported by te
Kettler was used to evaluate the rate of fusion. Independent samples t-test was used as
statistical methods.
Results: Among all of the patients, there were 24 males and 12 females, with the
average age of years old(range, 37 to 66 years old). All the patients were followed up
11 to 43 months(average 24 months). 25 patients, including 11 cases of L1/2 and 14 cases
of L2/3, were treated with Transforaminal Lumbar Interbody Fusion(TLIF) . 11 cases of
L2/3 were treated with Posterior Lumbar Interbody Fusion(PLIF). Therapeutic effect was
evaluated by modified ab standard: there were 22 excellent cases, 8 good cases, 4
ordinary cases and 2 bad case. At the last follow-up, the average ODI and VAS were
±、±, which were better than that of pre-operation(±、
±), there is statistical significance(P<). The ODI and VAS score of patients
who were treated with PLIF are worse than patients of TLIF, but there is no statistical
significance between them. Among patients who were treated with PLIF, 6 cases got
cerebrospinal fluid leakage, 2 cases got nerve root irritation, 1 case got defecation
dysfunction. The x-rays and CT of the last follow-up for the patients showed that the
intervertebral bone fusion rate was 100%. The postoperative lumbar lordosis Angle an