侧入路经皮穿刺腰椎间盘髓核摘除术  

Lateral percutaneous lumbar 4/5 discectomy

作　　者：高西杰[1] 马亮[1] 任保入[2] 

机构地区：[1]泰山医学院附属聊城市第二人民医院放射科,山东省临清市252600 [2]泰山医学院附属聊城市第二人民医院疼痛科,山东省临清市252600

出　　处：《中华实用诊断与治疗杂志》2010年第1期37-39,共3页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的:探讨侧入路经皮穿刺腰椎间盘摘除术治疗L4-5椎间盘突出的疗效。方法:经CT或MRI证实并与临床症状相符的50例L4-5椎间盘突出症患者,均在DSA监视下行侧入路经皮穿刺椎间盘摘除术,随访均>3个月。结果:显效率72.0%(36/50),有效率20.0%(10/50),无效率8.0%(4/50),总有效率92.0%(46/50)。无严重并发症。结论:在严格选择适应证的前提下,经皮穿刺侧入路椎间盘摘除术治疗L4-5椎间盘突出症可行,效果满意。Objective To study the therapeutic effect of lateral percutaneous lumbar discectomy for lumbar 4/5 disc protrusion. Methods Fifty cases of lumbar 4/5 disc protrusion were confirmed by CT or MRI and were matched with clinical symptoms, in which 30 cases were lateral type, 12 cases were central type, 8 cases were combined bulge and protrusion, 10 cases were cartilage and calcified nodules and 5 cases were combined light free nucleus gelatinosus. All cases received with transabdominal puncture lateral lumbar diseectomy under DSA and were followed up for more than 3 months. Results Total effective rate was 92. 0% （46/50）. The remarkable effective rate was 72% （36/50）, and the effective rate was 20% （10/50）. There were no serious complications. Conclusion Lateral transabdominal puncture anterior lumbar discectomy for of lumbar 4/5 disc protrusion is feasible and effective with the premise of strict indications for the choice.

关 键 词：腰椎间盘突出症 髓核摘除术 介入 侧入路 

分 类 号：R687.3[医药卫生—骨科学]