椎间盘镜下髓核摘除及神经根管扩大术治疗腰椎间盘突出症  

Treatment of lumbar disc herniation with microendoscopy discectomy and nerve root canal enlargement

作　　者：弋石泉[1] 焦志全[1] 余利民[1] 李贵林[1] 

机构地区：[1]广元市人民医院骨科,四川广元628000

出　　处：《临床骨科杂志》2006年第3期238-239,共2页Journal of Clinical Orthopaedics

摘　　要：目的 探讨椎间盘镜下行髓核摘除及神经根管扩大技术的方法与效果.方法 椎间盘镜下髓核摘除及神经根管扩大术治疗腰椎间盘突出症69例75个间隙.结果 随访1～12个月,平均8个月,患者切口均一期愈合,按1994年中华骨科学会脊柱外科学组制定的手术疗效：优48例,良16例,差5例,优良率为92.8%.结论 该术式适应除极外型椎间盘突出外的各类型腰椎间盘突出症以及合并侧隐窝狭窄或局限椎管狭窄病例,且出血少,创伤轻微,保持了腰椎的力学稳定性,效果较好.Objective To investigate the method and effect of microendoscopy discectomy and nerve root canal enlargement for the treatment of lumbar disc herniation. Methods 69 patients （75 spaces） with lumbar disc herniations were treated with microendoscopy discectomy and nerve root canal enlargement. Results All cases were followed up for 1 ～12 months,8 on average. All wounds got primary healing. According to the system made by Spinal Surgery Group of Chinese Orthopaedics Association in 1994, the results were excellent in 48 cases, good in 16 and poor in 5, and the excellent and good rate was 92. 8%. Conclusions This operation is indicated for all kinds of lumbar disc herniation and those associated with lateral recess stenosis or regional spinal canal stenosis except for extreme herniation ,which requires less blood loss and minimal trauma, and reserve stability of lumbar spine.

关 键 词：椎间盘镜 椎间盘切除术 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]