显微内窥镜下治疗多节段腰椎间盘突出症的手术策略  

The operative strategy for the treatment of multi-segmental lumbar disc herniation by MED

作　　者：彭耀庆[1] 杨檑[1] 江皓[1] 

机构地区：[1]中南大学湘雅三医院骨科,湖南省长沙市410013

出　　处：《中国脊柱脊髓杂志》2003年第2期79-81,共3页Chinese Journal of Spine and Spinal Cord

摘　　要：目的:探讨多节段腰椎间盘突出症经脊柱后路显微内窥镜下椎间盘切除术(microendoscopicdiscecto鄄my,MED)治疗的最佳方案。方法:对33例多节段腰椎间盘突出症患者(B组)的各突出椎间盘进行CT形态学分型,根据分型选择部分间隙实施MED,并与24例未做分型治疗的多节段腰椎间盘突出症患者(A组)进行比较。结果:A组的手术侵袭性与平均手术时间均明显大于B组(P<0.001),而手术优良率则明显低于B组(P<0.05)。结论:对多节段腰椎间盘突出症分型施行MED治疗可获得较佳疗效。Objective: To explore the best operative scheme to treat multi-segmental lumbar disc herniation by microendoscopic discectomy(MED). Method:Thirty-three cases were treatment in some selected vertebral spaces with multi-segmental lumbar disc herniation(group B) based on Computer tomography morphological typing.The effect with that of 24 cases with multi-segmental lumbar disc herniation(group A) without typing treatment were compared.Result:The invasion and the time of operation in group A were markedly more than those of group B(P<0.001),whereas the satisfactory rate of operation in group A was obviously less than that of group B (P<0.05).Conclusion:Typing treatment is the best scheme to treat multi-segmental lumber disc herniation by MED at present.

关 键 词：腰椎间盘突出症 多节段 外科治疗 显微内窥镜 

分 类 号：R681.53[医药卫生—骨科学]