后路椎间盘镜手术治疗不典型腰椎间盘突出症  

MED common projecting lumbar vertebra.

作　　者：周强 侯伟光 丁小川 刘德胜 张强 刘煊文 

机构地区：[1]成都363医院骨科,四川成都610041

出　　处：《四川医学》2006年第11期1110-1111,共2页Sichuan Medical Journal

基　　金：四川省科技厅攻关基金课题(05SGD22-088)

摘　　要：目的 观察后路椎间盘镜手术治疗不典型腰椎间盘突出症的疗效。方法 2000年10月至2006年3月从我院573例手术患者中筛选出54例不典型病例。其中定位体征不明确37例，辅助检查（CT或MRI）与查体体征不符合17例。以上患者均为保守治疗3个月无效，且症状严重影响生活质量坚持要求手术者。行后路椎间盘镜手术切除椎间盘，术后卧床休息2～3周。结果 全部患者无并发症。随访41例按Nakai疗效评定分级属优27例，良8例，可3例。随访8个月至4年总体有效率为92．68％。结论 对于不典型腰椎间盘突出症，保守治疗3个月无效时仍可考虑进行MED手术。Objective The observatitn on the curative effect of curing common projecting lumbar vertebra through the operation of Mieroendoseropie diseeetomy System （MED）. Methods The siftings of 54 common medical eases through 573 operated Patients in our hospital from October of 2000 to March of 2006. There are 37 eases about inexplieit body features in fixed postition and 17 eases about the supplementary check（CT/MRI） which doesn＇t conform to the patients＇ body features. The conservative cure to these patients in 3 months is ineffective and affects th quality of their lives. The patients who are excised spinal disc through the operation of MED should be stayed in bed for 2 - 3weck. Results All the patients have no complications. 27 eases picking form 41 eases at random are excellent and 8eases are good and 3eases are ordinary according to Nakai assessment. The efficiency is 92.68 %. Conclusion MED should be considerable to common projecting lumbar vertebra if the conservative cure was ineffective after 3 months.

关 键 词：椎间盘镜 不典型 手术 疗效 

分 类 号：R687.3[医药卫生—骨科学]