椎间盘镜下等离子刀髓核消融治疗钙化型腰椎间盘突出症  

Effect of microendoscopic discectomy combined with radiofrequency coblation nucleoplasty on cal- cified lumbar disc herniation

作　　者：陈宣煌[1] 李荣议[1] 陈金辉[1] 郑祖高[1] 张威[1] 林海滨[1] 

机构地区：[1]福建省莆田学院附属医院骨科莆田学院骨科研究所,351100

出　　处：《中国实用医刊》2012年第15期4-5,共2页Chinese Journal of Practical Medicine

基　　金：福建省卫生厅青年科研课题（2006-2-54）;福建省莆田市科技局计划项目（20061）03）

摘　　要：目的探讨后路显微内窥镜腰椎间盘切除术（MED）结合等离子刀手术系统微创治疗钙化型腰椎间盘突出症的可行性及疗效。方法随机选择行MED下髓核摘除的钙化型腰椎间盘突出症患者35例，同时应用等离子刀对椎管内残余组织进行消融、皱缩，成形，术后随访，第12个月进行疗效评价。结果35例患者均顺利完成此手术，Nakai治愈标准评估治疗效果，优良率为94．3％。结论显微椎间盘镜结合等离子刀治疗钙化型腰椎间盘突出症，扩大了MED适应证范围，提高了椎间盘镜下髓核摘除术的临床疗效。Objective To investigate the feasibility and effect of radiofrequency coblation nucle- oplasty combined with microendoscopic discectomy （MED） on calcified lumbar disc hemiation. Methods A total of 35 patients with calcified lumbar disc herniation were choosed in the study. All patients were treated with microendoscopic discectomy. After general MED surgery, the remnant tissues were treated with radiofrequency coblation nucleoplasty. A follow-up was carried out for 12 months, and the effect of the surgery was evaluated. Results The operation was completed smoothly in all of the 35 patients. The excellent and good rate was 94.3%, according to Nakai classification. Conclusions MED combined with radiofrequency coblation nucleoplasty for treatment of the calcified lumbar disc herniation can expand the clinical indication of MED, as well as improve the clinical efficacy of MED.

关 键 词：等离子刀 显微内窥镜椎间盘切除术 钙化型腰椎间盘突出症 

分 类 号：R687[医药卫生—骨科学]