微创小切口开窗法治疗腰椎间盘突出症  

Treatment of Lumbar Disc Herniation by Small Trauma Technique

作　　者：郑文忠[1] 尤瑞金[1] 陈昆[1] 刘爱刚[1] 潘永太[1] 黄春福[1] 吕宏升[1] 

机构地区：[1]解放军第180医院,福建泉州362000

出　　处：《临床军医杂志》2008年第6期905-907,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨腰椎间盘突出症外科微创手术治疗价值。方法我科近7年来采用微创小切口、有限骶棘肌剥离和椎板开窗法施行腰椎间盘手术2397例。其中L4-5 1356例，L5S1637例，L3-494例，L2-32例，L1-22例，L2-3和L3-44例，L4-5和L5S1双突出235例，L3-4和L4-5突出64例，L3-4和L5S13例。结果本组无神经根和硬脊膜损伤，伤口一期愈合，腰腿痛症状消失，优良率达98．5％。结论小切口、有限骶棘肌剥离和开窗法，遵循微创外科技术施行腰髓核摘除术，创伤小，出血少，术后康复快。Objective To evaluate the operation method to the treatment of lumbar disc herniation （LDH） by small trauma technique. Methods The method of small incision, finite multifidus encroachment and vertebral fenestration was applied in the operation of 2,397 cases of LDH from the year of 2000 to 2007 （including 1,347 cases in L4-5, 1,637 cases in L5 -S1, 94 cases in L3-4, 2 cases in L2-3, 2 cases in L1-2, 4 cases in both L2-3 and L3-4, 235 cases in both L4-5 and L5 - S1 , 64 cases in both L3-4 and L4 -5, 13 cases in both L3 -4 and L5 - S1. Results All these cases recovered well with postoperative primal heallng and without low-back pain and spinal cord or nerve root in injuries. The operation fineness rate was 98.5%. Conclusion The method of small incission, finite multifidus encroachment and vertebral fenestration applied in the operation of evacuation of spinal nucleus has the advantage of small trauma, little bleeding and rapid recovery.

关 键 词：微创技术 小切口 有限开窗 腰髓核摘除术 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]