多间隙腰椎间盘突出症的内窥镜下微创手术处理  

Microendoscopic resection of the intervertebral disc via multi-space for the micro-traumatic operation of more lumbar discs herniation

作　　者：臧晓方[1] 张朝跃[1] 詹瑞森[1] 周勇[1] 江皓[1] 雷翔宇 

机构地区：[1]中南大学湘雅三医院骨科,长沙410013 [2]洛阳轴承集团公司总医院骨科,河南471003

出　　处：《湖南医科大学学报》2002年第4期367-369,共3页Bulletin of Hunan Medical University

摘　　要：目的 :探讨多间隙腰椎间盘突出症的内窥镜下微创手术治疗的优势及操作方法。方法 :采用MED—II型系统治疗多间隙的腰椎间盘突出症 (LDH) 5 3例 ,根据突出部位及主要症状 ,分别在不同间隙开窗后行髓核摘除 ,并适当扩大神经根管。结果 :经 2月～ 2年随访 ,优良率达 94 .34%。结论 :经椎板显微内窥镜治疗多间隙腰椎间盘突出症方法比传统及常规手术创伤小 ,恢复快 ,基本保持了脊柱后柱完整 ,对脊柱稳定性影响小 ,手术视野清晰 ,操作安全 ,疗效可靠 ,是治疗多间隙腰椎间盘突出症的最佳方法。Objective To investigate the advantages and operative techniques for the more lumbar discs herniation (MLDH) treatment with the microendoscopic system (MED). Methods Fifty three MLDH patients were treated with MED between Aug,1999 and Aug, 2001.According to the sites of disc herniation and the main symptoms, the operations were performed one by one via different spaces. The nerve root canals were cleaned and the nerve roots were decompressed thoroughly. Results All cases were followed up from two months to two years.The excellent and good rate reached over 94.34%. Conclusion Microendoscopic resection via spaces has less trauma and influence on the stability of the posterior structure of the lumbar veterbrae. It is safe and effective because of its clear surgical field.This method is the best way for the treatment of MLDH.

关 键 词：多间隙腰椎间盘突出症 内窥镜 微创手术 

分 类 号：R681.53[医药卫生—骨科学]