后外侧颈椎间盘突出症后入路髓核摘除术疗效与安全性评价  

The Evaluation of Curative Effect and Safety Posteolateral Cervical Disc Herniation Discectomy Via Posterior Approach

作　　者：陈刚[1] 马勇[1] 王彪[2] 杭晨[2] 

机构地区：[1]江苏省南京中医药大学第一附属医院骨科,210029 [2]江苏省南通瑞慈医院骨科

出　　处：《医学研究杂志》2006年第12期101-103,共3页Journal of Medical Research

摘　　要：目的探讨颈椎间盘突出症后路髓核摘除术的适应证、安全性、有效性。方法全组手术共8例,行后入路后外侧颈椎间盘突出髓核摘除神经根减压术。随访平均3.2年,评价疼痛和客观神经症状改善两项指标。结果5例疼痛完全消失,3例明显改善。肌力及腱反射6例明显改善,2例改善。7例恢复原工作,1例改行轻工作。无1例发生并发症。结论后外侧颈椎间盘突出症行后入路髓核摘除术安全、有效。Objective To investigate the indication, safety and the validity of intervertebral discectomy via posterior approach. Methods There were 8 cases in our group. All received posterolateral intervertebral discectomy and nerve root decompression via posterior approach. The average follow - up period was 5. 2 years. The improvement on pain and neurological signs were evaluated. Results Pain disappeared completely in 5 patients and significantly alleviated in the other 3. As to muscle strength and tendon jerk, we observed significant improvement in 6 patients and improvement in the other 2 patients. 7 patients got back to their original work and 1 patient shifted to an easy job. No patient had complication. Conclusions Nucleus pulposus removal via posterior approach was a secure and effective one for posterolateral cervical intervertebral disc herniation.

关 键 词：颈椎间盘突出症 髓核摘除术 

分 类 号：R681.53[医药卫生—骨科学]