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《China Medical Herald》 2012-03
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Clinical analysis of surgical effect of lumbar disc herniation

TIAN Fangyun Department of Surgery,Hu′nan Mining Group Chenxi Coal Co.,Ltd.Hospital,Hu′nan Province,Chenxi 419500,China  
Objective To investigate the surgery method and the effect of the patients with lumbar disc herniation treated by discectomy.Methods Clinic data of 214 patients with lumbar disc herniation in our hospital from 2002 to 2010 were analyzed retrospectively,of which 137 cases were given discectomy window discectomy,49 cases were given semi-laminectomy discectomy,28 cases were given laminectomy discectomy,and 18 cases were given the pedicle screw fixation and fusion.Results 214 cases of patients were successful after surgery,the average operative time was(90.0±12.5) min,the average blood loss was(50.2±21.2) mL,the average length of stay was(17.8±9.2) d.Cerebrospinal fluid leakage was happened in 3 cases postoperative,disc space infection in 2 cases,and improved after symptomatic treatment,all patients were discharged.148 cases were followed for an average time of 2.8 years,according to Nakai assessment standards,84 cases(56.8%) were excellent,50 cases(33.8%) were good,10 cases(6.8%) were basic improvement and 4 cases(2.7%) were poor,excellent and good rate was 90.5%.Conclusion The long-term efficacy of discectomy for lumbar disc herniation is exact,the key to improve efficacy is to control surgical indications,surgical options,complications treatment and rehabilitation after surgery.
【CateGory Index】: R687.3
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