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目的探讨对25岁以下青少年腰椎间盘突出症患者的手术治疗效果。方法对19例临床症状重,保守治疗无效的青少年腰椎间盘突出症患者行开放或微创单纯椎板开窗减压、椎间盘髓核摘除术,观察治疗效果。结果 19例病例全部获随访,随访时间9个月至3.5年,平均为19个月,术后均进行腰、腿痛VAS评分,JOA、ODI评分,结果较术前改善明显,影像学结果复查满意。术后症状减轻,体征大部分消失。结论 25岁以下青少年腰椎间盘突出症的临床症状、体征与成年患者相似。保守治疗无效后椎板开窗减压、髓核摘除术是治疗青少年腰椎间盘突出症患者的有效手术方法 。
Objective To investigate the surgical treatment of patients with lumbar disc herniation under 25 years of age. Methods Nineteen patients with clinical symptoms and conservative treatment of idiopathic lumbar disc herniation were treated with open or minimally invasive simple lamina fenestration and discectomy of disc nucleus to observe the therapeutic effect. Results All the 19 cases were followed up for 9 months to 3.5 years with an average of 19 months. VAS score, JOA and ODI scores of lumbar and leg pain were all improved after operation. The results were significantly improved compared with that before operation, satisfaction. Postoperative symptoms, most of the signs disappear. Conclusion The clinical symptoms and signs of lumbar disc herniation in children under 25 years of age are similar to those of adult patients. Conservative treatment of laminectomy fenestration decompression, removal of nucleus pulposus is an effective surgical treatment of young patients with lumbar disc herniation.