显微椎间盘镜在腰椎间盘突出症治疗中的临床应用  

The clinical application of microdiscoscope in the treatment of lumbar disc herniation

作　　者：杨安礼[1] 黄强[1] 涂意辉[1] 樊天佑[1] 姚勐炜[1] 蔡岷巍[1] 蔡丰[1] 黄河清[1] 

机构地区：[1]上海市杨浦区中心医院,上海200090

出　　处：《颈腰痛杂志》2003年第5期276-278,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的　评价显微椎间盘镜在腰椎间盘突出症治疗中的临床应用价值。方法　经脊柱后路行显微椎间盘镜下腰椎间盘髓核切除和侧隐窝扩大手术 2 82例。结果　平均手术时间 45分钟 ,平均术后住院时间 8天 ,疗效优良率达 97.8%。结论　经脊柱后路显微椎间盘镜下治疗腰椎间盘突出症的方法比常规手术创伤小 ,恢复快 ,基本保持了脊柱后柱的完整性 ,对脊柱稳定性影响小 ,手术野清晰 ,手术安全 ,疗效确切。Objective To evaluate the clinical application of microdiscoscopic technique in the treatment of lumbar disc herniation.Methods Microendosccopic discectomy and enlarge the lateral recess were performed via spinal posterial route in 282 patients.Results The average operation time were 45 minutes.The average hospital stay after operation were 8 days,97.8per cent of all patients who undergone of operation got a excellent or good results.Conclusion Microendoscopic discectomy via lamina has less trauma,quicker recovery and less influence on unity and the stability of the posterior structure of the lumbar veterbrae than common operation, and have a clear operative vision,so,it is a safe and effective operative method.

关 键 词：显微椎间盘镜 腰椎间盘突出症 微创手术 治疗 临床应用 手术入路 

分 类 号：R681.53[医药卫生—骨科学]