经皮腰椎间盘髓核摘除术治疗老年性腰椎间盘突出症42例疗效分析  

Therapeutic Analysis of Automated Percutaneous Lumbar Discectomy Applied to Elderly Lumbar Intervertebral Disc Herniation of 42 Patients

作　　者：杨富坤 陈施展[2] 

机构地区：[1]防城边防检查站卫生队,广西防城港538001 [2]解放军第452医院二外科,四川成都610021

出　　处：《临床军医杂志》2007年第1期66-67,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨经皮腰椎间盘髓核摘除术（APLD）治疗腰椎间盘突出症高龄患者的临床效果。方法本组治疗病例42例，男29例。女13例，最大年龄75岁，最小65岁．平均年龄68．7岁。结果平均手术时间45min，基本无出血．平均住院时间10d．全组手术伤口一期愈合，无明显瘢痕，随访时间0．5—2年。疗效按Nakai分级评定，优30例，良9例，可3例，差0例。结论经皮腰椎间盘髓核摘除术治疗高龄腰椎间盘突出症，术式创伤口小。可视，操作精细，术后卧床时间短，并发症少．效果优良，是治疗高龄椎间盘突出症的一种可靠的方法。Objective To explore the clinical effect of automated percutaneous lumbar discectomy （APLD） applied to elderly lumbar intervertebral disc herniation. Methods A total of 42 elderly patients （ male 29, female 13 ） with lumbar intervertebral disc herniation, aging from 65 to75 （ averaging 68.7 ） years, were enrolled into the study. Results The mean time of surgical operation was 45 minutes, and there was no obvious bleeding during the operation. The hospitalization duration was 10 days, averagely. Primary healing was achieved in all the patients without obvious scar. According to one year＇ s follow-up, the rank of the therapeutic outcomes （ Nakai＇s grade） were listed as following ： excellent （ n = 30） , good （ n = 9） , so-so （ n = 3 ） and bad （ n = 0）. Conclusion It is deemed that APLD is a reliable and less traumatic approach to the therapy of elderly lumbar intervertebral disc herniation with shorter operative time and hospitalization duration.

关 键 词：经皮腰椎间盘髓核摘除术 高龄 椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]