经皮激光椎间盘减压术(PLDD)治疗颈椎间盘突出症(附19例报告)  

Treatment of cervical disc herniation by percutaneous Laser disc decompression (with 19 cases report)

作　　者：迟晓飞[1] 李宏志[1] 吴汝舟[1] 赵钢[1] 郑玉鹏[1] 

机构地区：[1]大连市第二人民医院骨科,辽宁116011

出　　处：《脊柱外科杂志》2007年第5期276-278,共3页Journal of Spinal Surgery

摘　　要：目的探讨经皮激光椎间盘减压术（percutaneous laser disc decompression,PLDD）治疗颈椎间盘突出症的优越性。方法通过C形臂X线机监视进行椎间盘穿刺,应用Nd：YAG激光进行多点髓核照射气化19例,共29节段,通过3个月以上随诊,对疗效进行评价。结果本组PLDD治疗共19例,应用日本矫形外科学会颈椎病疗效判定标准（JOAScore）,改善率为60%-87%,平均75.23%。结论PLDD治疗颈椎间盘突出症的疗效明显,避免了开放手术及其造成的痛苦,提高了手术的安全性,大大降低了手术和住院的费用,是适合我国国情的颈椎间盘突出症的微创手术方法。Objective To discuss the superiority of percutaneous laser disc decompression （PLDD） in treatment of cervical disc herniation. Methods Nineteen patients underwent PLDD at 29 levels of cervical disc. The nucleus pulposus was vaporized at single or multiple points after acupuncture into cervical disc under X-ray monitoring. The clinical results were assessed using Japanese Orthopedic Association （JOA） score system after at least 3-month follow-up. Results The improvement rate in neurological function ranged from 60% to 87% for this series, with a mean of 75.23%. Conclusion PLDD is effective in the treatment for cervical disc herniation, with advantages of less pain, more safety, and lower cost. This kind of microinvasive operation is feasible to treat cervical disc herniation in our country.

关 键 词：颈椎 椎间盘移位 激光手术 

分 类 号：R681.533.1[医药卫生—骨科学]