显微镜下微创治疗游离型腰椎间盘突出症  

Treatment of the lumbar disc sequestration by minimally invasive microscopy surgery

作　　者：刘璞[1] 张华良[1] 刘广跃[1] 王清和[1] 张颖[2] 

机构地区：[1]河北省衡水市第四人民医院骨科,053000 [2]天津市人民医院骨科,300121

出　　处：《疑难病杂志》2008年第9期540-542,共3页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的探讨显微镜下微创治疗游离型腰椎间盘突出症(LDH)的疗效。方法2004年6月—2007年6月治疗游离型LDH患者36例,采用后路显微镜下微创游离间盘取出术,记录手术情况并采用数字疼痛评分(NRS)和Oswestry量表(ODI)评估患者疼痛和生活质量变化情况。结果36例患者均获随访,时间7个月～4年(中位数22个月),手术时间(1.0±0.5)h,出血量(100±20)ml。36例患者术前腰痛、腿痛NRS评分及ODI评分分别为(7.2±1.4)分、(7.5±2.0)分、(53.2±5.5)分,术后8个月随访时评分分别为(3.2±1.2)分、(3.3±1.9)分、(75.7±8.2)分,术前和术后8个月随访时评分差异有统计学意义(P<0.05)。36例患者手术满意程度:优25例(69.4%),良8例(22.2%),可3例(8.4%)。结论游离型LDH临床症状较重,腰椎后路显微镜下微创治疗多数可获得满意疗效。Objective To evaluate the efficiency of surgical treatment of lumbar disc sequestration by minimally invasive microscopy surgery.Methods 36 cases of lumbar disc sequestration patients were treated in our hospital.Symptoms and MRI characters were recorded before and after the operation.All the patients were operated by posterior minimally invasive microscopy surgery.The numeric rating scale(NRS)and Oswestry disability index(ODI)were used to evaluate the pain relief and living quality change.Result All the pa...

关 键 词：腰椎间盘突出症 游离型 微创手术 显微镜 

分 类 号：R687.3[医药卫生—骨科学]