本文選題：腰椎間盤突出癥 + 開窗式髓核摘除術(shù)��； 參考：《遼寧中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察開窗式髓核摘除術(shù)結(jié)合獨活寄生湯加減治療腰椎間盤突出癥的臨床療效。材料與方法:將遼寧中醫(yī)藥大學(xué)附屬醫(yī)院骨一科2014年3月至2016年12月間接受開窗式髓核摘除術(shù)的42例病例,隨機(jī)分為中藥組與對照組,中藥組采取手術(shù)結(jié)合中藥湯劑治療,對照組采取單純手術(shù)治療,通過對總體病例術(shù)前、術(shù)后2周VAS評分行統(tǒng)計學(xué)分析,判定開窗式髓核摘除術(shù)的總體療效,對兩組病例術(shù)后3個月及末次隨訪ODI評分行組間統(tǒng)計學(xué)分析,判定加減獨活寄生湯對開窗式髓核摘除術(shù)術(shù)后療效的影響,進(jìn)而評價開窗式髓核摘除術(shù)結(jié)合獨活寄生湯加減治療腰椎間盤突出癥的臨床療效。結(jié)果:42例病例,術(shù)后平均隨訪21.2個月,術(shù)前VAS評分(8.9±0.51),術(shù)后2周VAS評分(2.8±0.53),自身前后比較P㩳0.05,具有統(tǒng)計學(xué)意義;術(shù)后3個月,中藥組ODI評分(0.19±0.04),對照組ODI評分(0.26±0.06),組間比較P㩳0.05,具有統(tǒng)計學(xué)意義;末次隨訪,中藥組ODI評分(0.09±0.03),對照組ODI評分(0.13±0.05),組間比較P㩳0.05,具有統(tǒng)計學(xué)意義。結(jié)論:1.開窗式髓核摘除術(shù)治療腰椎間盤突出癥療效確實;2.術(shù)后結(jié)合獨活寄生湯加減治療,短期內(nèi)可有效改善全身癥狀,提高生活質(zhì)量,但長期療效有待隨訪觀察。
[Abstract]:Objective: To observe the clinical effect of opening window type nucleus pulposus removal combined with single live parasitic soup in the treatment of protrusion of lumbar intervertebral disc. Materials and methods: 42 cases of open window nucleus pulposectomy from March 2014 to December 2016 of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine were randomly divided into Chinese Medicine group and control group, and the Chinese medicine group was operated by the Chinese medicine group. Combined with traditional Chinese medicine decoction treatment, the control group was treated with simple operation. By statistical analysis of the total cases before operation and 2 weeks after operation VAS, the total curative effect of the open window type nucleus pulposectomy was determined. The statistical scores of the two groups after 3 months and the last follow-up of the two groups were analyzed, and the extirpation of the open window type nucleus pulposus was determined by the addition and subtraction of the single live parasitic soup. The effect of postoperative curative effect, and then to evaluate the clinical effect of open window type nucleus pulposus removal combined with single live parasitic soup in the treatment of lumbar disc herniation. Results: 42 cases were followed up for 21.2 months, the preoperative VAS score (8.9 + 0.51), and 2 weeks VAS score (2.8 + 0.53) after operation, P? 0.05, and 3 months after the operation. The ODI score of the Chinese medicine group (0.19 + 0.04), the control group ODI score (0.26 + 0.06), P? 0.05, was statistically significant; the last follow-up, the traditional Chinese medicine group ODI score (0.09 + 0.03), the control group ODI score (0.13 + 0.05), the group was P? 0.05, with statistical significance. Conclusion: 1. open window nucleus extraction for the treatment of lumbar disc herniation is effective; 2.; 2.; 2. The combination of the modified "angelica and mistletoe Decoction" can effectively improve systemic symptoms and improve the quality of life in the short term, but the long-term effect remains to be followed up.

【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R687.3

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本文編號：1774540