요추추간판 탈출증의 수술적 치료 = Surgical Treatment of Herinated Lumbar Disc

국문 초록 (Abstract)

요추간판 탈출증은 청장년기에 변성화된 추간판과 척추에 외상을 받을 때 흔히 발생되는 질환이나 10대의 젊은 연령층에서도 증가하는 추세에 있다. 요추의 추간판 탈출증은 약 20%의 환자에서 수술적 치료가 시행되는데 저자들은 1975년부터 1991년까지 요추의 추간판 탈출증으로 척추 후궁절제술, 즉, 고식적 수술방법을 이용하여 치료후 추시 가능했던 297례에서 이들의 이학적 소견과 척추조영술, 컴퓨터단층촬영, 자기공명영상촬영과 함께 수술의 소견 및 술후 평가를 비교분석하였다.

다국어 초록 (Multilingual Abstract)

Authors have experienced 297 cases of herniated lumbar disc which were treated through classic surgical approach (laminectomy and discectomy) and followed up more than 1 year from Sep. 1975 to Aug. 1991.
The results of the study are guided of treatment of herniated lumbar disc. 297 Patients received classic surgical treatment. The ratio between male to female was 2.1 : 1 and the cases of the third and fourth decades were occupied 52% of the total patients.
Most frequent chief compliant was back pain (94%) and radiating pain to leg was also frequent(89%). On physical examination, rate of positive straight leg raising test were 93%. The diagnostic accuracy of myelogram was high (87%) and it was increased to 95% by CT scan.
The disc herniation of L4-5 was most common(70.7%) and on the operation, the annulus discal bulging were found in 75.4% of the patients and the definite discal ruptures were found in 22.9% of the patients. Among 297 patients, the excellent and good results comprised 91.9%.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.연구대상 및 방법
• 1.대상
• 2.연령 및 성별 분포
• 3.발병원인
• 4.이환기간
• 5.주증상
• 6.내원전 치료력
• 7.이학적 소견
• 8.방사선학적 소견
• 9.수술방법 및 수술소견
• Ⅲ.치료결과
• Ⅳ.고찰
• Ⅴ.결론