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目的 观察PLDD联合选择性神经根封闭治疗单纯性腰椎间盘突出症急性症状期的临床疗效,并探讨该联合疗法临床应用的优越性.方法 回顾性分析2014年1月至2015年11月,单纯性腰椎间盘突出症急性症状期患者37例的临床资料,采用PLDD联合选择性神经根封闭治疗,术后1和7d、1、3、6和12个月对患者的下腰痛疗效(Japanese Orthopaedic AssociationScores,JOA)评价、视觉模拟疼痛评分(visual analogue scales,VAS)及生活质量(Oswestry Disability Index,ODI)评分,术前和术后评分对比,观察症状改善情况.结果 术后1和7d、1、3、6和12个月JOA疗效评价,优良率分别为89.2％、86.5％、81.1％、83.8％和83.8％;ODI评分和VAS疼痛评分结果较术前均明显下降,差异具有统计学意义(P＜0.05),术后短期内疼痛症状改善明显.结论 PLDD联合选择性神经根封闭治疗对于腰椎间盘突出症患者急性症状期临床症状具有明显的改善效果,值得临床推广应用.“,”Objective To observe the clinical efficacy of joint treatment of acute lumbar disc herniation with PLDD and selective nerve root closure and explore the superiority of its clinical application.Methods Totally 37 patients of acute lumbar disc herniation treated with PLDD and selective nerve root closure from Jan.2014 to Dec.2015 were followed up for more than 12 months and studied retrospectively.The JOA based lumbago-relieving efficacy evaluation,visual analogue scale (VAS) evaluation and ODI based life quality evaluation were conducted 1 day,1 week and 1,3,6 and 12 months after the operation respectively.The preoperative and postoperative results of the evaluation were compared and the improvement of the symptoms was observed.Results The excellent rates of the curative effect were 89.2％,86.5％,81.1％,83.8％ and83.8％ lday,l week and 3,6 and l2 months after the operation respectively.The ODI scores and VAS pain scores 1 day,1 week and 3 and 12 months after the operation were significantly lower than those before the operation,and the differences were statistically significant (P ＜ 0.05).The pain suffered by the patients was eased remarkably in a rather short period after the operation.Conclusions Boasting dramatic reduction of the acute symptoms,the combined treatment of PLDD and selective nerve root closure is recommended for clinical application for patients of lumbar disc herniation with acute symptoms.