显微内窥镜下椎间盘切除术治疗钙化型腰椎间盘突出症初步探讨  

Treatment of the calcified lumbar disc herniation with microendoscopy discectomy

作　　者：王少飞[1] 王宇飞[1] 陆晓涛[1] 

机构地区：[1]云南省第二人民医院骨科,昆明市650021

出　　处：《中国脊柱脊髓杂志》2003年第2期85-87,共3页Chinese Journal of Spine and Spinal Cord

摘　　要：目的:介绍经显微内窥镜下椎间盘切除术(MED)治疗椎体后缘突出的钙化型椎间盘的手术方法,并总结其治疗效果。方法:2000年5月至2002年2月采用脊柱后路MED治疗经CT诊断并在术中证实的钙化型腰椎间盘突出症患者16例。结果:随访3～9个月,平均5.6个月,16例患者下肢痛、间歇性跛行全部消失,恢复了原工作和正常生活,但其中2例足趾、小腿外侧麻木未完全消失,参照陆裕朴评定标准,优良率为87.5%。结论:显微内窥镜下腰椎间盘摘除术治疗病史较短的钙化型腰椎间盘突出症有较好的效果。Objective:To observe microendoscopy discectomy system(METRX) for treatment of calcified lumbar disc herniation.Method:From May 2000 to February 2002,microendoscopy discectomy system(METRX) was used to treat 16 cases calcified lesion which were confirmed by CT and operation.During the operation,the calcified disc were resected by bone chisel designed by the authors.Result:The lower limb pain and intermittent limping in 16 cases disappeared completely and the patients resumed their normal works.Two cases of the toes and external aspect of tibial region did not recover completely.The good results were obtained in 87.5% according to Lu′s evaluation standard.Conclusion:The microendoscopy discectomy operation was used to treat the calcified protrusion of intervertebral disk of short medical history have got good results.

关 键 词：显微内窥镜下椎间盘式除术 腰椎间盘突出症 钙化 外科手术 

分 类 号：R681.53[医药卫生—骨科学]