显微内窥镜治疗腰椎间盘突出并局限性椎管狭窄  

Treatment of lumbar disc heniation with limited spinal stenosis by microendoscopy discectomy

作　　者：韦绍仁[1] 李荣祝[1] 尹东[1] 韦建勋[1] 孙可[1] 莫冰峰[1] 

机构地区：[1]广西壮族自治区人民医院骨科,南宁530021

出　　处：《中国微创外科杂志》2002年第5期331-332,共2页Chinese Journal of Minimally Invasive Surgery

基　　金：广西科学研究与技术开发计划项目 (桂科攻 ;0 1610 14 )

摘　　要：目的　探讨经椎板间隙后路显微内窥镜对腰椎间盘突出合并局限性椎管狭窄手术的可行性。　方法　 2 0例腰椎椎间盘突出合并局限性椎管狭窄采用显微内窥镜腰椎间盘切除系统 (microendoscopydis cectomy ,MEDⅡ )手术治疗。常规方法手术治疗的 30例作对照组。根据Nakai标准评价疗效 ,并比较两组出血量、手术时间、住院时间、恢复正常生活、工作时间。　结果　观察组优良率 90 % ,对照组优良率 86 7% ,差别无统计学意义 (χ2 =0 12 6 ,P >0 0 5 )。两组出血量、手术时间、住院时间、恢复正常生活、工作时间差别有统计学意义 (P <0 0 5 )。　结论　后路经椎板间隙途径显微椎间盘镜手术创伤小、恢复快 ,是治疗腰椎间盘突出合并局限性椎管狭窄症的有效方法。Objective To investigate the feasibility of microendoscopy discectomy in the treatment lumbar disc heniation with limited spinal stenosis. Methods 20 patients with lumbar disc heniation with limited spinal stenosis were treated with microendoscopic discectomy(METRX)and other 30 patients with lumbar disc heniation with limited spinal stenosis treated with conventional methods were used as control.The clinical results were evaluated according to Nakai method and blood loss,operation time,postoperative hospital stay ,the time of recovery to ordinary work or life were compared. Results The rate of good efficacy was 90% in the test group and 86.7% in the control.There was no significant difference between the two groups (χ 2=0 126, P >0 05). Conclusions Microendoscopy discectomy via laminoctomy has advantages of less trauma and quicker recovery.It is safe and effective in the treatment of lumbar disc heniation with limited spinal stenosis.

关 键 词：显微内窥镜 治疗 腰椎间盘突出 局限性椎管狭窄 

分 类 号：R681.53[医药卫生—骨科学]