Abstract：Objective: To observe the clinical curative effect of superior and middle gluteal nerve neurolysis combining with neurotropin close treatment for LDH (protrusion of lumbar intervertebral disc) postoperative remaining nerve neuralgia. Methods: 90 LDH cases of the age between 40~59 years old (45 female cases and 45 male cases) who were insensitive to four weeks of regular conservative treatment, VAS 5 and still got lower limb pain or (and) numbness at the second week after undergoing waist 4~5 or waist 5- sacrum 1 removal of nucleus pulposus, intervertebral fusion surgery were randomly divided into three groups, 30 cases in each group: group A (testing control group), group B (shinbone tube seal), group C (superior and middle gluteal nerve neurolysis combining with neurotropin close treatment). After 24 weeks of treatment, observed the clinical curative effect of group C treating LDH postoperative remaining nerve neuralgia and VAS, JOA,clinical periodscore. Results: The clinical curative effect and VAS, JOA,Clinical periodscore score of group C (superior and middle gluteal nerve neurolysis combining with neurotropin close treatment) were significantly better than that of group A and group B,the differences was statistically significant (P＜0.05).Conclusion: Superior and middle gluteal nerve neurolysis combining with neurotropin close treatment can significantly relieve symptoms of LDH postoperative remaining nerve neuralgia and reduce patients'clinical pain, so it is of significant clinical curative effect and treatment significance.
2017, Vol. 23 
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