影响腰间盘突出症下肢症状的因素分析

目的：探讨腰间盘突出症下肢症状产生的影响因素。方法：回顾性分析179例腰间盘突出症诊治的临床资料。结果：通过射频热凝及手术两种治疗方法不同阶段的先后应用，进行疗效观察。单纯通过射频热凝治疗方法，治愈率为20.67％；单纯通过手术治疗；治愈率为21．23％；两种方法先后协同使用，治愈率为48．04％。结论：腰间盘突出的患者，其下肢症状的产生既有椎管内病变因素，又有椎管外病变因素，其中，椎管内外病变的共同影响，是下肢症状产生的最常见原因。

Analysis of influence factors on symptoms of lower extremity of protrusion of lumbar intervertebral discs

Objective:To investigate the intluence factors on symptoms of lower extremity of protrusion of lumbar intervertebral discs (PLID).Methods:The clinical data of 179 cases of PLID,who were treated with electrocoagulation and operation,were retrospctively ana- lyzed.Results:The cure rate was 20.67% in group treated only with electrocoagulation;the cure rate was 21.23% in group treated only with operation;the cure rate was 48.04% in group treated by combining electrocoagulation and operation.Conclusion:The synergy of pathological changes in the intra-vertebral canal and extra-vertebral canal is the most common factor causing symptoms of lower extremity of PLID.