【摘要】 目的 :对 2 0 0 0年 3月至 2 0 0 1年 12月间 ,2 5 4例应用脊椎微创介入术 (MinimallyInvasiveTechnic ,MIT)治疗腰椎间盘突出症患者进行研究。方法 :回访术后 1.5～ 3年患者 ,统计其视觉模拟评分 (VisualAnalogueScale ,VAS) ,以及介入后持续治疗情况 ,并对照MIT治疗前、治疗后 3～ 5天的VAS。结果 :失访 6 7例 ,对获得 187例资料VAS对照 ,治疗前为 8.5 7± 0 .5 5 ;治疗后 3～ 7天为 3.2 9± 0 .76 ;1.5年～ 3年为 2 .38± 0 .74 ,与治疗前和治疗后 3～ 7天对照差异显著 (P <0 .0 5 )。治疗后 1.5～ 3年 15 4(82 .4 % )例疼痛完全解除 ;2 8(15 .0 % )例需要间断治疗 ;5 (2 .7% )例接受手术治疗。结论 :MIT可以使 82 .4 %椎间盘突出患者治疗 1.5～ 3年后疼痛没再复发。更多还原

【Abstract】 Objective: A retrospective study on 254 patients with lumbar intervertebral herniation who had been treated with vertebra Minimally Invasive Technic (MIT) from March 2000 to December 2001. Methods: Patients were followed up after 1.5～3 years of vertebra MIT treatment. Their VAS (Visual Analogue Scale) pain scores was recorded and compared with the scores before MIT and 3～5days after MIT. Results: Sixty-seven cases were losted in follow-up. In the remaining 187 cases: VAS was 8.57±0.55 before MIT,3.29±0.76 3～7 days after MIT,2.38±0.74 1.5～3 years after MIT. VAS of 1.5～3 years after MIT was significantly different form that of pre-MIT and that of 3～7 days after MIT( P <0.05). In 1.5～3 years after MIT,154 patients(82.4%)was relieved from pain completely ,28 patients(15.0%)need interrupted treatment and 5 patients(2.7%)need surgical treatment. Conclusion: 1.5～3 years after vertebra MIT treatment,pain of 82.4% patients with lumbar intervertebral herniation wasn’ t recurrent.更多还原