经皮腰椎间盘切除术的中期疗效及并发症的防治  

The medium-term curative effects and the prevention and treatment of its complications of the percutaneous resection of the intervertebral disc

作　　者：曾明军 朱立新[2] 刘成龙[2] 

机构地区：[1]广州市天河区红会医院外科,广州510660 [2]广州市南方医科大学附属珠江医院,广州510282

出　　处：《颈腰痛杂志》2011年第3期195-196,共2页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨83例经皮腰椎间盘切除术(PLD)治疗腰椎间盘突出症的中期疗效及其主要并发症的防治。方法对83例确诊为腰椎间盘突出症患者进行PLD术,并进行3年随访,观察近、中期疗效和并发症。结果术后PLD有效率:术后6个月92%,术后3年为86.7%。术后并发症主要有:穿刺点血肿2.4%(2/83),后腰背部疼痛3.6%(3/83)。结论经皮腰椎间盘切除术是一种安全有效、并发症少的微创方法,治疗腰椎间盘突出症中期疗效肯定。Objective To investigate the mid-term outcome and complications of percutaneous lumbar disecectomy for lumbar herniated disk.Methods 83 patients with lumbar herniated disk were performed with percutaneous lumbar discectomy.The patients were followed up and the outcomes were evaluated with MacNab criteria.Results A total of 83 patients in 6 months after PLD and 78 patients in 3 years after PLD were eligible for analyses,with a follow-up period of 3 years.According to the MacNab criteria,92% patients in 6 months after PLD and 86.7% patients in 3 years after PLD achieved excellent or good results.Local hematoma in puncture site was found in 2 patients.Back pain were found in 3 patients.Conclusion Percutaneous lumbar discectomy is an effective,safe and less complications option for lumbar herniated disk.The mid-term results of PLD is promising.

关 键 词：腰椎间盘经皮切除术 疗效 并发症 

分 类 号：R681.53[医药卫生—骨科学]