MED下多间隙腰椎间盘突出症的微创手术策略  

The Microinvasive Strategy for the More Iumbar Discs Herniation Reatment with the Med

作　　者：曹振华[1] 银和平[1] 李树文[1] 

机构地区：[1]内蒙古医学院第二附属医院微创脊柱外科,内蒙古呼和浩特010030

出　　处：《内蒙古医学杂志》2009年第9期1064-1066,共3页Inner Mongolia Medical Journal

摘　　要：目的：探讨多间隙腰椎间盘突出症的内窥镜辅助下髓核摘除术（Microendoscopic discectomy,MED）治疗的可行性及疗效。方法：于2004年8月～2009年7月,采用MED治疗多间隙的腰椎间盘突出症（LDH）98例,根据症状体征及影像学改变定性定位,利用一个2～3 cm的手术切口,经症状侧椎板间隙,镜下放大64倍术野下,通过移动工作套管的位置,对不同间隙行有效范围开窗减压髓核摘除并适当扩大神经根管。结果：经2个月～2年随访,平均手术时间1 h;平均出血量60 ml;硬膜囊神经根损伤无;疗效评价优良率达96.9%。结论：经椎板显微内窥镜治疗多间隙腰椎间盘突出症方法比传统及常规手术创伤小,恢复快,基本保持了脊柱后柱完整,对脊柱稳定性影响小,手术视野清晰,操作安全,疗效可靠,是治疗多间隙腰椎间盘突出症的可行有效的方法。Objective-To investigate the feasibility and therapeutic effect for the more lumbar discs herniation（MLDH） treatment with the microendoscopicsystem （MED）. Methods. nighty eight MLDH patients were treated with MED between Aug, 2004 and July, 2009. According to the sites ofdisc herniation that located by the main symptoms, physical sign and imageology, the operations were performed by one 2-- 3 cm long Operative incision via. The nerve root canals were cleaned and the nerve roots were decompressed thoroughly. Results： All cases were followed up from two months to two years. The excellent and good rate reached over 96.9 %. Conclusion. Microendoscopicresection via spaces has less trauma and influenceon thest ability of the posteriorstructure of the lumbarveterbrae. It is safe and effective because of its clearsurgicalfield. This method is the good way for the treatment of MLDH.

关 键 词：间隙 腰椎间盘突出症 显微内窥镜系统 微创技术 

分 类 号：R618.553[医药卫生—外科学]