后路内窥镜下腰椎间盘摘除术临床疗效分析  

Analysis of Clinical Effect of Posterior Endoscopic Lumbar Discectomy

作　　者：张轶群[1] 袁文[1] 李时中 

机构地区：[1]湖南省邵阳市第一人民医院骨科,湖南邵阳422001

出　　处：《医学临床研究》2005年第5期627-629,共3页Journal of Clinical Research

摘　　要：【目的】分析腰椎后路内窥镜下腰椎间盘摘除术治疗腰椎间盘突出症和腰椎管狭窄症及椎间盘源性腰痛的特点及临床效果。【方法】分别采用腰椎后路内窥镜手术进行单节段或双节段,单侧或双侧“开窗”减压及潜行性神经根减压治疗腰椎间盘突出症和(或)腰椎管狭窄及椎间盘源性腰痛患者265 例。【结果】本组全部获得随访,随访时间3个月至4年。疗效优215 例(81.1%),良44 例(16.6%),可4 例(1.5%),差2 例(0.8%),优良率为97.7%。【结论】该术式减压充分,适应证宽,创伤小,出血少,术后恢复快。ObjectiveTo analyse the clinical effects of oosterior endoscopic lumbar discectomy for disc herniation, lumbar canal stenosis and discogenic low back pain.Two hundred and sixty-five patients,were treated with translaminar fenestration, notching and undermining enlargement of the neural canal in single or multiple segments by intervertebral disc endoscope (Sofamor Danek system ) through posterior unilateral approach.All cases were followed up from 3 months to 4 years. The clinical results were rated as excellent in 215 cases (81.1%), good in 44 cases (16.6%) and poor in 6 cases (2.3%), and the rate of excellent and good outcomes was 97.7%.[Conclusion]The procedure has advantages of minimal invasion, less bleeding, high security and quick recovery due to complete decompression to nerve roots.

关 键 词：椎间盘切除术 腰椎 内窥镜检查 

分 类 号：R681.53[医药卫生—骨科学]