目的：探讨游离型腰椎间盘突出症临床诊治的特点。方法回顾性分析2012年1月～2014年12月收治的游离型腰椎间盘突出症患者31例，术前确诊依据腰椎间盘CT和腰椎MRI，所有患者均行手术治疗，其中17例行后路椎板间开窗术，2例行半椎板切除髓核摘除术，12例行全椎板切除髓核摘除椎间融合固定术。结果31例患者腰腿痛症状在手术后均立即改善，所有患者出院后均获得随访，随访时间为3～12个月，患者功能评价在术后3月进行，其中优24例，良6例，可1例，优良率达96.8%。结论 CT 和 MRI 是诊断游离型腰椎间盘突出症可靠手段，是临床治疗方案选择的可靠依据，诊断明确后手术治疗效果良好。%Objective To study the clinical characteristics of diagnosis and treatment of prolapsed lumbar disc herniation. Methods The clinical data of 31 patients with prolapsed lumbar disc herniation were analyzed retrospectively in this study from January 2012 to December 2014. The pre operative diagnosis depended on CT and MRI. All the patients received surgical treatments, including 17 cases underwent posterior fenestration and discectomy, 2 cases underwent semi laminectomy and discectomy, 12 cases underwent laminectomy discectomy and interbody fusion fixation. Results 31 cases of patients with lumbocrural pain symptoms were improved immediately after the operation. All the patients were followed up for 3~12 month. To evaluation function of patients with the standard in 3 months after operation. Excellent was noted in 24 patients, good in 6 patients, fair in 1 patient, with the satisfactory rate of 96.8%. Conclusion CT and MRI are reliable means of diagnosis of the prolapsed lumbar disc herniation. They provide a reliable basis for clinical treatment. Surgical treatment has good results after diagnosed definitely.
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