内窥镜下微创腰椎间盘摘除术  

Minimal Invasive Endoscopic Lumbar Discectomy

作　　者：张卫平[1] 刘长安[1] 钱宇航[1] 王占长 张壮岱[1] 康强军[1] 

机构地区：[1]白求恩国际和平医院骨科,石家庄050082

出　　处：《解放军医药杂志》1999年第6期414-416,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的 探讨应用内窥镜技术、微创治疗腰椎间盘突出症的新型手术方法。方法 手术经后路小切口,椎板开窗0.8～1.2cm,借助内窥镜及监视系统,对46例腰椎问盘突出或伴有狭窄患者行间盘摘除或减压。结果 平均摘除椎间盘组织3.8g,术后随访6月～2年,据Macnab标准,优良率为93.5％,除1例切口浅表感染外,无其它并发症,无复发病例。结论 内窥镜下微创腰椎间盘摘除创伤小、出血少,对脊柱结构破坏轻,显露充分,适应证广,为腰椎间盘突出症的一种新的手术方法。Objective To explore a new method of minimal invasive discectomy using an en-doscope for the treatment of lumbar disc herniation. Methods The operation was performed through a posterior median minor incision and 0.8-1. 2cm laminal fenestration under the control of endoscope coupled with video monitor system. 46 cases of lumbar .dise herniation or associated with stenosis were treated. Results The discs removed were in average weight of 3. 8g. The symptoms had disappeared or reliefed postoperatively in all patients. Follow up of 6 months to 2years showed excellent and good results in 93.5 % . There were no relapse and serious complications. Conclusion Minimal invasive en-doscopic lumbar discectomy has the advantage of less trauma and hemorrhage, minor affection to spinal structure and stability, clear exposure and extensive indication. This technique provide a new way for the treatment of lumbar disc herniation.

关 键 词：腰椎间盘摘除术 内窥镜 微创 

分 类 号：R687.3[医药卫生—骨科学]