Analysis of remaining symptoms after discectomy with different operation for lumbar disc herniation
10.3760/cma.j.issn.1673-4904.2015.07.006
- VernacularTitle:不同手术方式对腰椎间盘突出症术后残余症状的影响及临床意义
- Author:
Yang YANG
;
Weimin HUANG
;
Ruoxian SONG
;
Xiuchun YU
- Publication Type:Journal Article
- Keywords:
Intervertebral disk displacement;
Diskectomy,percutaneous;
Remaining symptoms after discectomy;
Discectomy with bone grafting internal fixation;
Discectomy with dynamic fixation
- From:
Chinese Journal of Postgraduates of Medicine
2015;38(7):486-490
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence of remaining symptoms after discectomy with different operation,and investigate its causes and clinical significance.Methods Two hundred and twentyfour patients were followed up.The incidence of remaining symptoms and clinicai situation after discectomy were observed with different operation:discectomy (110 patients,single group),discectomy with bone grafting internal fixation (70 patients,fusion group),and discectomy with dynamic fixation (44 patients,non-fusion group).The SPSS 19.0 software was used to analyze the data.Results One hundred and sixpatients (47.32％,106/224) occurred remaining symptoms in 224 patients.In single group was 69 patients (62.73％,69/110),in fusion group was 26 patients (37.14％,26/70),and in non-fusion group was 11 patients (25.00％,11/44).The incidence of remaining symptoms among three groups was significant difference(x2 =22.177,P =0.000).The incidence of remaining symptoms in single group was significantly higher than that in non-fusion group and fusion group (x2 =17.921,P =0.000;x2 =11.235,P =0.001).The incidence of remaining symptoms in non-fusion group and fusion group had no significant difference (x2 =1.817,P =0.178).Conclusions There is significantly different in the incidence of lumbar disc herniation with different surgery methods.Discectomy with bone grafting internal fixation and with dynamic fixation can effectively reduce the incidence of remaining symptoms.
