椎间盘镜(MED)髓核摘除术治疗腰椎间盘突出症椎间隙高度的影像学变化研究  

Imaging changes of disc height of extirpation of nucleus pulposus with microendoscopic discectomy(MED) in the treatment of protrusion of lumbar intervertebral disc

作　　者：瞿晖[1] 余德怀[1] 赵小锋 刘鹏川[1] 赵学平[1] Ou Hui;Yu Dehuai;Zhao Xiaofen;Liu Pengchuan;Zhao Xueping(The Second Department of Orthopedies,Guizhou Space Hospital 56300)

机构地区：[1]贵州航天医院骨二科,563003

出　　处：《中国社区医师》2018年第19期31-31,33,共2页Chinese Community Doctors

摘　　要：目的:探讨椎间盘镜髓核摘除术治疗腰椎间盘突出症患者椎间隙高度的影像学变化。方法:收治椎间盘镜髓核摘除术治疗腰椎间盘突出症患者40例,手术前后实施核磁共振检查,比较椎间隙高度的影像学变化。结果:40例患者中,25例术后临床症状完全消失或得到有效缓解,功能得到良好改善;影像学检查结果显示患者椎间隙高度比术前降低12.5%,差异有统计学意义(P<0.05);手术前后JOA评分差异有统计学意义(P<0.05)。结论:对椎间盘突出症患者实施腰椎间盘镜髓核摘除术,能取得良好治疗效果,患者术后椎间隙高度会出现一定程度增加,并得到保持。Objective：To explore the imaging changes of disc height of extirpation of nucleus pulposus with microendoscopic discectomy in the treatment of protrusion of lumbar intervertebral disc.Methods：40 patients with protrusion of lumbar intervertebral disc treated with extirpation of nucleus pulposus with microendoscopic discectomy were selected.They underwent magnetic resonance imaging before and after operation.We compared the imaging changes of disc height.Results：In 40 patients,the clinical symptoms of 25 cases were completely disappeared or effectively relieved after operation,and the function was improved.Imaging examination showed that the height of intervertebral space decreased with 12.5% compared with that before operation,and the difference was statistically significant（P〈0.05）.Conclusion：The application of disc height of extirpation of nucleus pulposus with microendoscopic discectomy in the treatment of protrusion of lumbar intervertebral disc had good therapeutic effect,postoperative intervertebral space height will increase to a certain extent and be maintained.

关 键 词：椎间盘镜 髓核摘除术 腰椎间盘突出症 间隙高度 

分 类 号：R687.3[医药卫生—骨科学]