手术治疗极外侧腰椎间盘突出症的疗效  

The clinical outcomes of surgical treatment for far lateral lumbar disc herniation

作　　者：高共鸣[1] 农鲁明[1] 周栋[1] 蒋世杰[1] 徐南伟[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院骨科,常州市213000

出　　处：《江苏医药》2011年第14期1689-1690,共2页Jiangsu Medical Journal

摘　　要：目的分析手术治疗极外侧腰椎间盘突出症的临床疗效。方法极外侧腰椎间盘突出症17例（椎间孔内型4例,椎间孔外型9例,椎管内椎间孔内型4例）。分别采用经椎板开窗、经峡部外缘、经椎间孔间盘切除及椎体间融合等手术方式治疗。手术前后对下肢放射痛行视觉模拟评分（VAS）,采用MacNab标准进行疗效评定。结果 17例获随访6个月-4年。术前下肢放射痛平均VAS为7.2分,术后末次随访平均VAS为2.4分。根据MacNab标准评估,优8例,良6例,可2例,差1例,优良率82.4%。结论根据不同椎间盘突出类型采取相应手术方式治疗极外侧腰椎间盘突出症,可以取得良好的疗效。Objective To evaluate the clinical outcomes of surgical treatment for far lateral lumbar disc herniation.Methods Seventeen cases with far lateral lumbar disc herniation received surgical treatment,of whom 4 cases were posterolateral and foraminal herniation,9 extraforaminal herniation and 4 foraminal herniation.Three various operative approaches of the translaminar osteotomy,the approach from the outer edge of par interarticularis and the transforaminal approach were taken depending on different styles.The visual analog pain scoring（VAS） of radicular leg pain was performed before and after operation.The efficacy was evaluated by the MacNab′s standard.Results The patients were followed-up for 6 months to 4 years.The mean VAS scores of radicular pain declined from 7.2 points before to 2.4 points at final follow-up.According to MacNab′s stangdard,the excellent and good rate was 82.4% with excellent in 8 cases,good in 6 cases,acceptable in 2 cases and poor in 1 case.Conclusion Better clinical efficacy of surgical treatment for far lateral lumbar disc herniation can be obtained if the suitable surgical procedures are taken.

关 键 词：椎间盘突出症 

分 类 号：R681[医药卫生—骨科学]