经脊柱后路显微内窥镜腰椎间盘摘除术(附30例报告)  

Posterior Spinal Approach MicroEndosccopic Discectomy for the Treatment of Lumbar disc Herniation(A Report of 30 Cases)

作　　者：薛向东[1] 陈艺新[1] 陈克洲[1] 张云强[1] 肖杰[1] 秦杰[1] 龙浩[1] 

机构地区：[1]贵阳市第四人民医院,贵阳骨科医院贵州贵阳550002

出　　处：《实用骨科杂志》2001年第2期81-83,共3页Journal of Practical Orthopaedics

摘　　要：目的 :本文报告经脊柱后路显微内窥镜腰椎间盘摘除术 (Microendoscopic Discectomy MED)治疗腰椎间盘突出症。方法 :对 30例腰椎间盘突出症患者行脊柱后路显微内窥镜下腰椎间盘摘除和侧隐窝扩大术。术中用 C型臂X线机定位 ,在荧屏监视显微内窥镜下切除纤维环 ,摘除突出的椎间盘组织 ,咬除肥厚的黄韧带 ,扩大侧隐窝 ,对神经根彻底减压。结果 :近期随访 3～ 5个月 ,优良 2 8例 ,优良率 93% ,无并发症发生。结论 :经脊柱后路显微内窥镜腰椎间盘摘除术 ,技术先进 ,创伤小 ,出血少 ,恢复快 。Objective:This article reported Posterior spinal approach MicroEndoscopic Discectomy for the treatment of lumbar dise herniation, Methods:30 Cases of lumbar disc herniation were treated by posterior spinal approach.MicroEndoscopic Discectomy and the enlargoment of lateral recess.Intraoperatively,under the loralization of C-arm X-ray computed and the monitor of fluoroscope,the annulus fibrosus and herniated disc were renoved,the thickened and hypertrophic ligmentun were resected,the lateral recess was enlarged,the nerve roots were decompressed thorougly,Results:Thirty were followed-up for 3～5 months,excellent and good were 28 cases(93%) and all patients had no complications.Conclusion:Posterior spinal approach MicroEndoscopic Discectomy for the treatment of lumbar disc herniation has characteristics of advanced technique,minimal invasion,fast recovery and thorough decompression to the nerve root.Its effect is postive.

关 键 词：腰椎间盘突出症 内窥镜 椎间盘摘除术 病例报告 疗效 

分 类 号：R681.530.5[医药卫生—骨科学]