摘要
目的:评价显微内窥镜下椎间盘切除术(microendoscopic discectomy,MED)治疗腰椎间盘突出症的疗效。方法:应用MED对59例腰椎间盘突出症患者行手术治疗,并对其疗效进行评定。结果:平均手术时间85min,平均术中出血45ml,平均住院6.4d,发生硬膜撕裂1例,有2例改为开放手术。术后平均随访16个月,按照Macnab评定标准进行疗效评定,优50例,良8例,可1例,优良率达98.3%。术后平均28d恢复正常工作和日常生活。结论:MED治疗腰椎间盘突出症,能充分解除硬膜囊及神经根的压迫,手术效果良好,同时具有创伤小、出血少、对脊柱稳定性影响小、术后恢复快等特点。
Objective： To evaluate the surgical efficacy of microendoscopic discectomy（MED） for lumbar disc herniation. Methods： 59 cases of lumbar disc herniation performed MED, and the surgical efficacy was evaluated. Results：The mean operative duration was 85 minutes, the average bleeding volume during operation was 45ml, and mean length of tay was 6,4 days, Dural tear occurred in 1 case. 2 cases required open operation. Mean follow-up duration was 16 months. According to Macnab＇ s postoperative evaluation criterion, the clinical outoomes were excellent in 50 cases,good in 8 ,moderate in l, the rate of excellent and good outcomes was 98.3 %. Normal work and activity was recovered after 28 days. Conclusion： MED is effective in treating lumbar disc herniation and relieving dural sac and nerve root compression with mini-trauma, less bleeding, little influence in backbone stability and quick recovery.
出处
《内蒙古医学杂志》
2006年第2期118-120,共3页
Inner Mongolia Medical Journal
