摘要
【目的】探讨急性游离型腰椎间盘突出症内窥镜下手术治疗的方法和疗效。【方法】回顾性分析21例该型患者的临床表现、影像学特征,早期进行内窥镜下髓核摘除术方法。随访时间4个月至3年5个月。【结果】内窥镜手术解除神经根、马尾神经的压迫,疗效优良为86%。【结论】内窥镜手术能使急性神经根、马尾神经受压得到彻底减压,并在维持脊柱稳定性,减小手术并发症等方面具有较大的优势。
[Objective] To explore the effect and operative methods of surgical treatment by posterior spinal microendoscopic discectomy for acute central dissociative lumbar intervertebral disc herniation （LIDH）. [Methods] Twenty one cases of cauda equina syndrome（CES） caused by acute central dissociative LIDH were early treated by posterior spinal microendoscopic discectomy according to the characteristics of imaging and the symptom of the patients. The patients were followed up from 4 to 41 months after initial operation. [Results] Posterior spinal microendoscopic discectomy relieved the compression of cauda equina nerve and nerve roots thoroughly. Functional evaluation revealed that choiceness rate was 86%. [Conclusion] Posterior spinal microendoscopic discectomy relieves the compression of cauda equina nerve and nerve roots thoroughly. It takes advantage of maintaining spinal stability and decreasing the incidence rate of operative sequela.
出处
《医学临床研究》
CAS
2007年第12期2038-2040,共3页
Journal of Clinical Research
关键词
腰椎/外科学
椎间盘移位/外科学
lumbar vertehrae/SU
intervertebral disk dislocation/SU
