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采用骶管注射、牵引、推拿等保守疗法,治疗青少年腰椎间盘突出症7例,无效3例改行手术治疗,优良率85.7%。观察认为青少年腰椎间盘突出症可分为2个临床类型。Ⅰ型发病机制与成人椎间盘突出无明显差异,突出物可塑性大,早期保守治疗容易获得成功。Ⅱ型突出物内含有软骨及骨组织,其内张力及可塑性小,保守治疗常无效,一般均需手术。
Using caudal injection, traction, massage and other conservative treatment of young patients with lumbar disc herniation in 7 cases, 3 cases of ineffective diverting surgery, the good rate of 85.7%. Observation that adolescent lumbar disc herniation can be divided into two clinical types. Type Ⅰ pathogenesis and adult disc herniation no significant difference, prominent plasticity, early conservative treatment easy to be successful. Type Ⅱ protrusion contains cartilage and bone tissue, the tension and plasticity of small, conservative treatment often ineffective, generally require surgery.