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首页> 外文期刊>Journal of Ayub Medical College >ANALYSIS OF 1058 LUMBAR PROLAPSED INTERVERTEBRAL DISC CASES IN TWO TERTIARY CARE HOSPITALS OF PAKISTAN
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ANALYSIS OF 1058 LUMBAR PROLAPSED INTERVERTEBRAL DISC CASES IN TWO TERTIARY CARE HOSPITALS OF PAKISTAN

机译:巴基斯坦两个三级医院1058腰椎间盘突出病例分析

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Background: Characteristics of Prolapsed Intervertebral Disc (PID) in two tertiary care hospitals of Pakistan. The objective of this was to study the demographic characteristics of lumbar PID by age, gender, clinical presentation, levels of spinal column involvement, treatment options and post-operative complications for lumber disc prolapse. Methods: One thousand and fifty eight cases (708 males, 350 females) of prolapsed intervertebral disc over? six years between January 2009 and December 2014 were studied for location of prolapsed disks, gender, age, clinical presentation, treatment options and complications of surgery. Results: Of the determined locations L5/S1 was the commonest (34.6%), followed by L4/L5 (33.4%). 24.2%of the patients had prolapsed disks at 2 levels (L3/L4, L4/L5 andL4/L5, L5/S1). Prolapsed disc was commonest in the 31–49 year age group. Male were mostly affected with male to female ratio of 2.02%. Most common surgery performed was discectomy with fenestration (60.64% of total surgeries performed) and most common postoperative complication being mechanical backache (4.8%). Conclusion: Prolapsed intervertebral disc is common in the lower lumbar region at the level of L4/L5 and L5/S1. The outcome of the patients who underwent surgery is very good with 92.19% of patients, being free of postoperative complications. Keywords: Backache, lumbar disc prolapse, discectomy, sciatica
机译:背景:巴基斯坦两家三级医院的椎间盘突出症(PID)特征。目的是研究按年龄,性别,临床表现,脊柱受累程度,治疗方案和腰椎间盘突出症术后并发症的腰椎PID的人口统计学特征。方法:158例(708例,女性350例)脱出椎间盘突出?研究了2009年1月至2014年12月这6年间的椎间盘突出症的位置,性别,年龄,临床表现,治疗选择和手术并发症。结果:在确定的位置中,L5 / S1最常见(34.6%),其次是L4 / L5(33.4%)。 24.2%的患者椎间盘脱出有2个水平(L3 / L4,L4 / L5和L4 / L5,L5 / S1)。椎间盘脱出在31-49岁年龄段最常见。男性受影响最大,男女之比为2.02%。最常见的手术是开窗椎间盘切除术(占总手术量的60.64%),最常见的术后并发症是机械性背痛(4.8%)。结论:下腰椎椎间盘突出症常见于L4 / L5和L5 / S1水平。接受手术的患者的预后非常好,占92.19%,无术后并发症。关键词:腰酸,腰椎间盘突出症,椎间盘切除术,坐骨神经痛

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