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目的:阐述青少年腰椎间盘突出症的病因、临床特点及手术治疗。方法:分析1985年6月~1995年6月收治的11例病人的临床资料及随访记录。全椎板切除术1例,半椎板切除术4例,椎板间开窗术式6例。结果:经1~11年,平均5.5年随访,优8例,良2例,可1例。结论:腰部严重外伤是主要发病因素。临床特点为腰部症状轻,下肢症状重;受压神经根分布区运动障碍重,感觉障碍轻。主张手术治疗,以椎板间开窗术式为宜。
Objective: To describe the etiology, clinical features and surgical treatment of adolescent lumbar disc herniation. Methods: Clinical data and follow-up records of 11 patients admitted from June 1985 to June 1995 were analyzed. Total laminectomy in 1 case, 4 cases of semi-laminectomy, laminectomy window in 6 cases. Results: After 1 to 11 years, with a mean follow-up of 5.5 years, there were 8 excellent cases, 2 good cases and 1 fair case. Conclusion: Severe lumbar trauma is the main risk factor. Clinical features of lumbar symptoms, lower extremity symptoms; compression nerve root distribution of motor dysfunction, sensory disturbances. Advocates of surgical treatment, laparoscopic surgery is appropriate.