再次经皮穿刺腰椎间盘切除术治疗腰椎间盘突出症疗效分析  

Curative Effect of Lumbar Discectomy through Percutaneous Puncture Again on Prolapse of Lumbar Intervertebral Disc

作　　者：陈雪松 王世平 梁智 肖国庆 陈健 黄芩[3] 

机构地区：[1]昆钢医院 [2]昆明市第四人民医院,云南昆明650302 [3]昆明医科大学,云南昆明650500

出　　处：《昆明医科大学学报》2013年第2期52-55,共4页Journal of Kunming Medical University

基　　金：美国中华医学基金会医学教育研究与发展基金资助项目(CMB00-721)

摘　　要：目的探讨再次经皮穿刺腰椎间盘切除术治疗腰椎间盘突出症的方法及疗效.方法分析昆钢医院2009年3月至2012年6月间85例腰椎间盘突出症患者,第1次经过经皮穿刺腰椎间盘切除术治疗,术后疗效不佳,根据患者椎间盘突出物的影像特点及病变椎间隙的影像特点,调整穿刺位置、穿刺角度、调整工作套管位置或对侧入路等方法再次采用经皮椎间盘切除术治疗.结果观察术后4个月至36个月不等,平均12.5月,总有效率96.43%.结论根据患者椎间盘突出物的影像特点及病变椎间隙的影像特点,选择恰当穿刺入路,正确的工作套管置管位置,准确的钳夹范围是提高经皮穿刺腰椎间盘切除术疗效的关键.Objective To investigate the method and curative effect of lumbar discectomy through percutaneous puncture again on prolapse of lumbar intervertebral disc. Methods We treated 85 patients with prolapse of lumbar intervertebral disc with lumbar discectomy through percutaneous puncture for the first time from March 2009 to June 2012, but the curative effect was not satisfying. According to image characteristics and pathological changes, we performed lumbar discectomy through percutaneous puncture again for the patients after adjustment of the puncture position, puncture angle and adjustment of the casing position. Result The patients were followed up for 4 months to 36 months, and for an average of 12.5 months, the total effective rate was 96.43%. Conclusion According to the image characteristics and pathological changes of prolapse of lumbar intervertebral disc, it is the key for improving the curative effect of lumbar discectomy through percutaneous puncture to choose appropriate puncture pathway, correct work casing catheter location and accurate clamping range.

关 键 词：经皮穿刺 腰椎间盘突出症 切除术 疗效分析 

分 类 号：R681.53[医药卫生—骨科学]