頁籤選單縮合
題 名 | 腰椎椎間軟骨摘除術之療效: 強調病人主觀之反應及目前之工作概況 |
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作 者 | 林永福; 詹美華; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 16:4 1983.12[民72.12] |
頁 次 | 頁324-330 |
分類號 | 416.61 |
關鍵詞 | 腰椎椎間軟骨摘除術; |
語 文 | 中文(Chinese) |
中文摘要 | 民國67、68兩年內,作者總共為130位腰椎軟骨突出症之患者施行腰椎椎開軟骨摘除手術,民國71年年中,病人應作者請求回到醫院接受追踪診察的有83位,其中包括男性69位,女性14位。年齡以20多歲及50多歲兩個年齡組最多。這83位病人中,自己覺得完全痊癒的有34位(41.0%),症狀有顯著改善的45位(54.2%),症狀只部份改善的3位,沒有人症狀更惡化或無任何改善,復發的有1位。這些病人中,目前有56位(67.5%)能完全充分地工作,絲毫不受腰推椎間軟骨摘除的影響;26位(31.3%)不易勝任原來工作,工作量需做適度調節;另有1位病人,亦即唯一的復發者,目前無法工作。手術後更改職業的有28位之多,但因手術後工作能力降低而更改職業的則僅有12位(14.5%)。56.5%的病人無明顯受傷等誘因,且半數以上的患者發生於左側(58.8%)。 |
英文摘要 | In 1982 the authors undertook the follow-up study of 130 patients who had suffered from lumbar disc herniation and had been treated with lumbar discotomy during the period from 1978 to 1979 in the Department of Orthopaedics of Taipei Municipal Chung-Hsin Hospital. Among 130 patients treated with lumbar discotomy,83 patients came back for follow-up study. This series included 69 males and 14 females. Most of the patients were found in the age groups of 21-30 and 41-50 years. Of these patients, 63.9% were with lurnbar disc protrusion at the level of L4-5. Patients with LS-S1 disc herniation followed in decreasing sequence. No definite precipitating factors could be made out in over half of the 83 patients. More than half of the patients in this series suffered frorn left side lesion. Follow-up period was from 2.5 years to 4.5 years. The results were: cured, 41.0%; much improved,54.2%; improved, 3.6%, and recurrence, 1.2%. Of 83 patients, 67.5% worked with full capacity, and 31.3% could not tolerate laborious work. The only one patient with recurrence was uhable to work. Twenty-eight patients changed their occupations after discotomies, but only 12 of them were due to postoperative reduction in working capacity. As a whole, satisfactory rate (cure rate plus much-improved rate) was up to 95.2%. |
本系統中英文摘要資訊取自各篇刊載內容。