显微内窥镜椎间盘切除术和传统手术治疗老年人腰椎间盘突出症  

Microendoscopic and conventional discectomies for lumbar disc herniation in the aged patients

作　　者：许伟华[1] 杨述华[1] 郑东[1] 肖宝钧[1] 李进[1] 杨操[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,湖北武汉430022

出　　处：《临床骨科杂志》2008年第5期450-452,共3页Journal of Clinical Orthopaedics

摘　　要：目的总结老年人腰椎间盘突出症的特点和手术方式的选择。方法175例老年腰椎间盘突出患者中,93例行显微内窥镜椎间盘切除术(MED),82例行传统手术,比较分析两组术后疗效。结果147例获得随访,时间2年1个月～7年5个月,根据改良Macnab评定标准进行分级,MED和传统手术优良率分别为89.5%和87.0%,经Ridit分析两组疗效相似。结论老年人腰椎间盘突出症应根据病理改变选择手术方式,单纯的局限型突出适合微创MED手术方式,有利于老年患者术后早期康复。Objective To study the characters of the lumbar disc herniations in the aged patients and surgical selection between microendoscopic and conventional discectomies. Methods 175 aged patients who received surgical operations for lumbar disc herniation were retrospectively analyzed. 93 patients were undergone microendoscopic diskectomy,82 patients by conventional diskectomy. Results 147 patients were followed up for 4. 3 years. The results were evaluated using modified MacNab＇s criteria,and were graded as excellent and good in 34 patients （89.5%） with microendoscopic and 60 patients （ 87.0% ） with conventional diskectomy respectively. The results was similar by Ridit analysis. Conclusions Microendoscopic diskectomy is an alternative operation for the localized lumbar disc herniation in the aged patients,and it is of great benefit to early rehabilitation in the aged patients because of its minimal invasion.

关 键 词：腰椎间盘突出 老年人 椎板切除术 椎间盘切除术 显微外科手术 

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