Master-Quadrant系统辅助下微创治疗腰椎间盘突出症的临床疗效  

Effect of Minimally Invasive Treatment on Lumbar Disc Herniation Aided by Mast-Quadrant System

作　　者：候煜东 李章华[2] 潘峰[1] 方卫军[1] 许海甲 廖文[2] 

机构地区：[1]武汉大学人民医院,湖北武汉430060 [2]武汉大学同仁医院/武汉市第三医院,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2017年第4期671-675,共5页Medical Journal of Wuhan University

摘　　要：目的:观察Master-Quadrant系统辅助下微创治疗腰椎间盘突出症的临床疗效,为临床应用Master-Quadrant系统微创治疗腰椎间盘突出症提供理论依据。方法:回顾分析2010年1月至2014年12月应用Mast-Quadrant系统辅助下经后路微创治疗腰椎间盘突出症患者50例,男35例,女15例。年龄19-59岁,平均年龄31.1岁。单节段42例,双节段8例,均为L4-L5和L5-S1节段,术后随访评价手术治疗效果,评价指标包括手术切口长度、手术时间、出血量、住院时间、术后恢复正常工作时间、JOA评分、Macnab标准评价等。结果:手术切口长度2-3cm,平均2.5cm,手术时间30-90min,平均51min;术中出血50-150ml,平均100ml;住院时间7-17d,平均10d;术后恢复正常工作时间1-3月,平均1.2月;随访3个月-1年,平均8个月;JOA评分治疗前为(10.32±2.12)分,术后1个月为(20.65±2.62)分,末次随访为(26.55±3.74)分;Macnab标准评价,优43例,良7例。结论:Mast-Quadrant系统辅助下微创治疗腰椎间盘突出症手术效果良好,切口小、出血少、术野清晰,是一种治疗腰椎间盘突出症安全有效的方法。Objective ： To observe the clinical effect of minimally invasive treatment on lumbar disc herniation aided by Mast-Quadrant system so as to provide theoretical basis for clinical use. Methods： Retrospective analysis was taken in 50 patients including 35 males and 15 females with lumbar disc herniation which received the treatment of minimally invasive surgery aided by Mast-Quad- rant system in our hospital from January 2010 to December 2014. Patients aged 19 to 59 and the average age of them was 31.1 years. All cases were L4-L5 and L5-S1 segment lumbar disc hernia- tion including 42 eases with single-level lumbar disc herniation and 8 cases with double-level. The surgical efficacy was evaluated after follow-up visit and the evaluation criteria included length of incision,duration of operation, amount of bleeding, hospital stays, postoperative recovery time,Japanese Orthopaedic Association （JOA） score and Macnab criteria. Results. The average incision length was 2.5 cm （2-3 cm） ,with an average bleeding amount of 100 ml （50-150 ml）. The average operative time was 51 minutes （30-90 min） ,with a mean hospital stay of 10 days （7-17 days）. The average postoperative recovery time was 1.2 months （1-3 mon）. All cases were then followed up for 3-12 months （average 8 months）. JOA scores of operation, 1 month after operation and last follow-up were 10.32±2.12,20.65±2.62 and 26.55±3.74,repectively. Macnab criteria used to determine clinical outcome revealed that excellent results in 43 patients and good results in 7 cases. Conclusion.. Minimally invasive surgery aided by Mast-Quadrant system may he a kind of safe and effective treatment of lumbar disc herniation with fine surgical outcomes, small incisions, less bleeding and better exposure of operative field.

关 键 词：Mast-Quadrant系统 腰椎间盘突出症 微创治疗 

分 类 号：R681.5[医药卫生—骨科学]