后路椎间盘镜手术治疗老年性腰椎管狭窄合并椎间盘突出症  

Microendoscopic Discetomy for the Treatment of Lumbar Spinal Stenosis Accompany with Disc Herniation

作　　者：李开华[1] 陈刚[1] 夏建龙[1] 杨挺[1] 

机构地区：[1]江苏省中医院骨伤科,江苏南京21002

出　　处：《中国伤残医学》2011年第9期2-4,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨微创后路椎间盘镜经椎板间隙入路行椎管及神经根管减压、椎间盘髓核摘除治疗老年性腰椎管狭窄合并椎间盘突出症的可行性、技术改进及处理要点。方法：采用MED对老年性腰椎管狭窄合并椎间盘突出症患者行侧隐窝减压、髓核摘除、神经根管扩大术。结果：本组13例，随访3～12个月，疗效评定按改良MacNab标准评定：优8例，良4例，可1例，优良率92．3％。结论：合理选择患者，配合应用改良工具，MED技术可用于治疗老年性腰椎管狭窄合并椎间盘突出症，精准、微创，疗效满意。Objective： To discuss the feasibility,technique improvement and the experience of microendoscopic discectomy （MED） for the treatment of lumbar spinal stenosis accompany with disc herniation. Methods： MED was used to remove the nucleus and amplify the nerve root canal.Results： Thirteen cases were followed for 3~12 months, excellent were 8, good were 4, fair was 1. Conclusion： To select the suitable patients and using special instruments, MED can be used in older patients suffered with lumbar spinal stenosis accompany with disc herniation and acquire satisfaction result.

关 键 词：腰椎管狭窄症 显微内窥镜椎间盘切除术 微创手术 老年 

分 类 号：R681[医药卫生—骨科学]