经后路椎间盘镜治疗腰椎间盘突出症  

Treatment of lumber disc herniation by microendoscopic discectomy via posterior interlaminar approach

作　　者：王宇飞 孔维云 李勇刚 蒙顺 李光全 Wang Yufei, Kong Weiyun, Li Yonggang, et al. （ Department of orthopaedics, The Second People＇ s Hospital of Yunnan, Kunming,650021 ）

机构地区：云南省第二人民医院,云南昆明650021

出　　处：《中国保健》2008年第14期550-552,共3页Chinese Health Care

摘　　要：目的：探讨后路椎间盘镜治疗腰椎间盘突出症疗效、要点及并发症的预防。方法：对获得随访的268例腰椎间盘突出症患者的疗效进行分析，按Nakai分级，将疗效分为优、良、中、差4级；经后路椎间盘镜（MEDRx）进行手术治疗，对手术中和手术后并发症进行分析。结果：术后268例患者获得随访，疗效分级为：优190例（71％）、良57例（21．3％）、中16例（5．6％）、差5例（1．8％），优良率为92．3％。主要并发症为：1例椎间隙定位错误、1例硬脊膜破裂、2例椎间隙感染。结论：椎间盘镜治疗腰椎间盘突出症具有创伤小、恢复快、手术效果好的优点，是一种安全有效的方法，严格选择适应证和熟练的操作是手术成功的关键。Objective ：To evaluate the clinical effects and complications of thetreatment of lumbar intervertebral disc herniation by posterior in-terlaminar microendoscopic discectomy（MED） and to investigate the indications and the means to prevent the complications. Methods ：268 patients who were followed up were treated by the posterior interlaminar microendoscopic discectomy（MED）. The clinical result were evaluated by Nakai grade. All the complications encountered in the operation were analyzed. Results：Of the 268 patients, excellent result was found in 190（71.0% ）, good result in 57 （21.3 % ）, middle - grade result in 16 （5.6%）, and bad result in 5 patients （ 1.8 % ）, respectively. The rate of excellent and good result was 92.3%. There was 1 patient who underwent a mistaken intervertebral disc operation. Leakage of cerebrospinal fluid occurred in 1 patient. During the period after operation,2 patients suffered with intervebral infection. Conclusion：The MED had advantages of minitrauma, early recovery and excellent efficacy, which is a safe and effective approach to treat lumbar intervertebral disc herniation. Selecting surgical indications strictly and precise surgical technique were keys to the operation.

关 键 词：显微腰椎间盘镜 腰椎间盘突出症 并发症 

分 类 号：R681.53[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]