经皮旋切术联合胶原酶靶点溶解治疗颈椎间盘突出症  

A ROTARY PROBE(DECOMPRESSOR SYSTEM)COMBINED WITH COLLAGENASE TARGET CHEMONUCLEOLYSIS FOR CERVICAL INTERVERTEBRAL DISC DISPLACEMENT

作　　者：张绍杰[1] 侯会文[1] 刘洋[1] 茹晶晶[1] 李胜利[1] 

机构地区：[1]武警广东省总队医院疼痛康复科,广州510507

出　　处：《中国疼痛医学杂志》2011年第3期160-162,共3页Chinese Journal of Pain Medicine

摘　　要：目的:评价经皮旋切术联合胶原酶靶点溶解治疗颈椎间盘突出症的疗效。方法:选取50例颈椎间盘突出症患者,使用微创电动椎间盘旋切器在X线引导下行病变椎间盘旋切术,并于突出物内注射胶原酶100U。于出院时术后1月、3月、6月按W illiams标准评价疗效。结果:出院时及术后1月、3月、6月优良率分别为80%、86%、92%和92%。结论:经皮旋切术联合胶原酶靶点溶解治疗颈椎间盘突出症,具有创伤小、近期疗效好、恢复快等优点。Objective：To evaluate the therapeutic effects of a rotary probe（decompressor system） discectomy combined with collagenase target chemonucleolysis for the treatment of cervical intervertebral disc displacement.Methods：Fifty patients with cervical intervertebral disc displacement were involved into the present study.Percutaneous discectomy with rotary probe（decompressor system） was performed in the displaced disc,followed by 100U-dose of collagenase injected into the disc protrusion site.The clinical effects were observed and recorded at the point of discharge and one month,three months,and six months after discharge.Results：The ratio of excellent-or-good effects was 80%,86%,92% and 92%,respectively.Conclusion：Percutaneous discectomy with a rotary probe combined with collagenase target chemonucleolysis for cervical intervertebral disc displacement with the advantages of microinvasion,good short term effect and speedy recovery.

关 键 词：经皮 颈椎间盘旋切术 胶原酶 化学髓核溶解术 

分 类 号：R681.53[医药卫生—骨科学]