后路椎间盘镜治疗腰椎间盘突出症  

Treatment of lumbar disc herniation by posterior intervertebral disc scopye

作　　者：高建文[1] 臧晓方[1] 张朝跃[1] 

机构地区：[1]中南大学湘雅三医院,湖南长沙410013

出　　处：《现代医药卫生》2007年第24期3643-3645,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨椎间盘镜(MED)镜下椎间盘摘除术治疗腰椎间盘突出症的技术要点及临床效果。方法:回顾性分析采用MED治疗的72例腰椎间盘突出症患者的临床资料及治疗效果。结果:72例得到随访,随访时间为2～24个月,平均12.8个月。依据Machnab标准:优41例、良23例、可5例、差3例,优良率达88.9%,未出现椎间隙感染及椎体滑脱。结论:采用MED治疗损伤小、痛苦轻、恢复快,符合椎间盘手术微创化趋势。Objective：To investigate the surgical technique main points and clinical results to treat lumbar disc herniation by microendoscopic discectomy （MED）.Methods： 72 cases of lumbar disc herniation treated by microendoscopic discectomy were analyzed retrospectively.Results：Follow-up period was 2 to 24 months after operation,and the average follow-up time was 12.8 months.The results, based on Macnab criteria,were excellent in 41 patients,good in 23 patients,fair in 5 patients and poor in 3 patients and the satisfactory rate was 88.9%. There was no infection of intervertebral space and olisthe of vertebral body. Conclusion ：Microendoscopic discectomy is an effective method to treat lumbar disc herniation, following a minimally invasive operation tendency, has the characteristics of minimal invasion and light pain, rapid recovery.

关 键 词：腰椎间盘突出症 椎间盘镜 椎间盘摘除术 

分 类 号：R6[医药卫生—外科学]