小切口手术治疗单间隙腰椎间盘突出症  

Minimal incision surgery treatment for lumbar disc herniation

作　　者：尤瑞金[1] 郑文忠[1] 郑鹏飞[1] 杨德育[1] 

机构地区：[1]解放军第180医院骨一科,福建泉州362000

出　　处：《临床军医杂志》2011年第4期675-676,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨小切口手术治疗单间隙腰椎间盘突出症的疗效。方法对1 936例单间隙腰椎间盘突出症患者采用微创小切口、有限剥离骶棘肌和椎板开窗施行手术,并分析手术疗效、适应证及手术操作要点。结果1 936例得到随访8个月～6年,平均3.4年,无神经根和硬脊膜损伤,切口一期愈合,其中优1 801例,良83例,可52例,优良率达96.9%。结论 微创小切口法遵循微创外科技术,创伤小,出血少,术后康复快。熟练的手术技巧是保证手术疗效,减少术后复发的关键。Objective To study the effect of minimal incision surgery treatment for lumbar disc herniation.Methods 1 936 patients with lumbar disc herniation were treated by minimal incision surgery with finite multifidus encroachment and decompressive laminectomy.The curative effects were analyzed,as well as the indication and operating points.Results 1 936 patients were followed up for 8 months to 6 years.1801 cases were excellent,83 were good,and 52 were fair.The excellent rate was 96.9%.None of all cases had spinal cord or nerve root injured.Conclusion Minimally incision surgery has many advantages which includes minimal invasive,less bleeds and rapid recovery.Correct recognition of its microinvasive surgery,strictly grasp of its indication and perfect operative techniques are the keys to get good therapeutic efficacy.

关 键 词：腰椎间盘突出症 外科手术 微创 

分 类 号：R681.53[医药卫生—骨科学]