经皮激光椎间盘减压术治疗颈性眩晕  

Percutaneous laser disc decompression for the treatment of cervical dizzness

作　　者：姜永庆[1] 刘庆鹏[1] 董大明[1] 王岩松[1] 

机构地区：[1]哈尔滨医科大学附属二院脊柱外科,黑龙江哈尔滨150086

出　　处：《临床骨科杂志》2008年第3期227-228,共2页Journal of Clinical Orthopaedics

摘　　要：目的探讨经皮激光椎间盘减压术（PLDD）治疗颈性眩晕的机制和适应证。方法对58例颈性眩晕患者88个突出间盘行PLDD。结果随访6个月-2年,术后眩晕立即消除48例（82.8%）,明显改善5例（8.6%）,无效5例（8.6%）,无神经损害、感染等并发症发生。结论PLDD使椎间盘内压骤然降低,局部直接热疗可消除椎动脉痉挛,同时减少椎间盘内的炎性因子和化学介质的含量,对治疗颈性眩晕有明显疗效。Objective To investigate the therapeutic mechanism and indication of percutaneous laser disc decompression （PLDD） on the treatment of cervical dizziness. Methods 88 protrusion discs of 58 cases of cervical dizziness under went PLDD. Results All cases were followed up for six months to two years. The dizziness disappeared in 48 cases（ 82. 8% ） ,improved in 5 cases（ 8.6% ） , and did not improve in 5 cases （8.6%）. There was no complication such as nerve injury or infection in all cases. Conclusions PLDD can decrease the inner compression of disc suddenly with increasing the local temperature directly so as to eliminate the spasm of the vertebral artery so the therapeutic effect on the treatment of cervical dizziness is remarkable.

关 键 词：颈性眩晕 椎间盘切除术 经皮 激光手术 

分 类 号：R681.5[医药卫生—骨科学] R687.3[医药卫生—外科学]