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分析10例青少年腰椎间盘突出症,探讨其发病特点及容易造成损伤的原因。结果表明,导致青少年腰椎间盘突出症原因:(1)脊椎发育异常;(2)外伤;(3)身高体重超常。尤其外伤是促使腰椎间盘突出症的首要因素。由于青少年腰椎间盘突出症在症状体征上与成人不同,尤其是一些无症状而仅表现为下肢无力的病人应予以重视。在治疗方面若CT显示:腰椎间盘突出症合并有骺环脱入椎管、巨大型或中央型椎间盘突出症者,应尽早手术治疗为宜。若为单纯性腰椎间盘突出症可酌情选用单侧椎板开窗髓核摘除术或经皮穿刺腰椎间盘切除术。手术应以尽量小的损伤,解除脊髓和神经的压迫为原则。
Analysis of 10 cases of young patients with lumbar disc herniation, to explore the characteristics of its incidence and easy cause of injury. The results showed that the causes of adolescent lumbar disc herniation: (1) spine dysplasia; (2) trauma; (3) height and weight. In particular, trauma is the leading factor in promoting lumbar disc herniation. Due to juvenile lumbar disc herniation in adults with symptoms and signs are different, especially asymptomatic and only manifested as weakness in patients with lower limbs should pay attention. In the treatment of CT if the show: lumbar disc herniation with epiphyseal ring into the spinal canal, huge or central disc herniation, surgical treatment should be as soon as possible. If the simple lumbar disc herniation can be appropriate to use unilateral laminectomy fenestration or percutaneous lumbar discectomy. Surgery should be as small as possible injury, lift the spinal cord and nerve compression principle.