侧前入路经皮穿刺靶点髓核摘除联合水针刀治疗腰椎间盘突出症  

Lateral anterior discectomy percutaneous target joint water knife treatment of lumbar disc herniation

作　　者：高西杰[1] 李文家 

机构地区：[1]泰山医学院附属聊城市第二人民医院放射科,山东聊城252600 [2]山东省临清市中医院理疗科,山东临清252600

出　　处：《中国中西医结合影像学杂志》2012年第1期48-50,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨侧前入路经皮穿刺腰椎间盘靶点髓核摘除术(APLD)治疗L4～5椎间盘突出的可行性,并联合水针刀行椎间孔内、外口松解提高疗效。方法:经CT或MRI证实并与临床症状相符的30例旁侧型L4～5椎间盘突出患者,5例合并轻度髓核脱出,均在"C"形臂监视下行APLD,并联合水针刀行相应椎间孔内、外口松解术。所有病例均获3个月以上随访。结果:本组30例,显效率为80.0%(24/30),有效率为13.3%(4/30),无效率为6.7%(2/30),总有效率为93.3%(28/30),无严重并发症。结论:APLD治疗L4～5椎间盘突出症具有可行性,联合水针刀行椎间孔内、外口松解术,效果满意。Objective：To study the feasibility of lateral anterior side of percutaneous lumbar discectomy for lumbar target for 4/ 5 disc,with a joint of water knife line foramen inside and outside the mouth of release to improve the outcome. Methods： Con- firmed by CT or MRI consistent with the clinical symptoms of 30 cases of lateral lumbar 4/5 disc herniation patients,5 patients with mild prolapse of the nucleus,are under the surveillance of the C-arm by the side of anterior percutaneous disc target point discectomy and foraminal united water knife line corresponding inside and outside the mouth of lysis,all patients were followed up for 3 months. Results：Markedly effective rate was 80.0 % （24/30）, the effective rate was 13.3 % （4/30）, invalid 6.67 % （2/ 30）, the total effective rate was 93.3 % （46/50） ,no serious complications. Conclusion：Lateral anterior disc puncture target dis- cectomy for lumbar 4/5 disc herniation with a feasibility of a joint water knife line foramen inside and outside the mouth of ly sis, the effect is satisfactory.

关 键 词：椎间盘移位 椎间盘切除术 经皮 

分 类 号：R687.3[医药卫生—骨科学]