小切口保留黄韧带手术治疗腰椎间盘突出症的研究  

Analysis on treatment of lumbar disc herniation by minimal incision surgery with preserving the ligamentum flavum

作　　者：杨永林[1] 胡泽元[1] 金霖峰[1] 高强[1] 

机构地区：[1]解放军第92医院骨科,福建南平353000

出　　处：《临床军医杂志》2011年第3期420-422,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨小切口椎板间开窗保留黄韧带的椎间盘髓核摘除术治疗腰椎间盘突出症的疗效及适应证。方法对183例腰椎间盘突出症患者行小切口椎板间开窗保留黄韧带的腰椎间盘髓核摘除术,剥离浅层黄韧带,保留深层黄韧带。摘除椎间盘髓核后将深层黄韧带恢复到原来的位置。结果 183例随访6个月~3年,优良率达90.2%,术后复查CT或MRI,可见相应黄韧带无变形或塌陷,椎管外瘢痕组织于黄韧带处中止。结论小切口椎板间开窗保留黄韧带的腰椎间盘髓核摘除术能有效地防止术后椎管内瘢痕粘连。Objective To evaluate the indications and effects of treatment of lumbar disc herniation by minimally incision fenestration laminectomy and lumbar discectomy surgery with preserving the ligamentum flavum.Methods Minimally incision fenestration laminectomy and lumbar discectomy surgery with preserving the ligamentum flavum were performed in 183 cases of lumbar disc herniation.The shallow ligamentum flavum was peeled and the deep ligamentum flavum was preserved.After lumbar discectomy,bring the ligamentum flavum back to its original location.Results 183 cases were followed up for 6 months to 3 years;the excellent rate was 90.2%.The patients were examined with CT and MRI after operation,the result showed that the ligamentum flavum was no deformation and dent,the scar tissue of spinal canal were stopped on ligamentum flavum.Conclusion Treatment of lumbar disc herniation by minimal incision fenestration laminectomy and lumbar discectomy surgery with preserving the ligamentum flavum can effectively prevent cicatricial adhesion in canales spinalis.

关 键 词：椎间盘摘除术 小切口 黄韧带 

分 类 号：R681.53[医药卫生—骨科学]