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《The Journal of Cervicodynia and Lumbodynia》 2010-05
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The lumbar intervertebral disc herniation with clinical manifestations characterized by the hip pain

HE Xue-jun1,YI Hui-jun1,FAN You-bing2,et al.(1.Hu nan sheng ma wang dui yi yuan Changsha 410016;2.Hu nan sheng lou di shi zhong xin yi yuan Loudi,417000,China)  
Objective To explore effective treatment methods for herniated lumbar intervertebral disc patients with clinical manifestations characterized by the hip pain.Methods An retrospective analysis were done for 87 herniated lumbar intervertebral disc patients characterized by the hip pain,32 cases of them treated with surgery after admission,another 23 cases received initiated conservative treatment including traction about one month and were switched into surgery when the treatment showed no significant effects,the rest 32 cases received conservative treatment only.Results All cases were obtained follow-up of five mouths to seven years,averaged three years and five months.According to the surgical assessment standard of Chinese Orthopaedic Association Spine Study Group for treatment of the low back pain,the excellent and good rate for patients after surgery was 89.1% percent;and correspondingly for patients receicing conservative therapy,the good rate reached 84.3 percent based on efficacy evaluation standard of Tauffer and Coventry for lumbar intervertebral disc herniation.Conclusion For initial history or less than three months,the conservative treatment should be adopted,however for more than half a year history of recurrent and severe hip pain the positive surgical treatment is more benefiacil when the conservative treatment was not significantly effective.
【CateGory Index】: R681.53
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