摘要
目的总结椎间盘镜(MED)治疗腰椎间盘突出的临床效果,探讨其适应证、技术要点。方法对177例(213个间隙)腰椎间盘突出症患者施行后路显微内窥镜椎间盘摘除术,对其疗效进行回顾性分析。结果本组患者均在术后7d内出院;全组患者均获得随访,平均随访时间7.8个月,术后按Macnnab标准行功能评级:优141例,良27例,可9例,优良率94.9%。结论椎间盘镜摘除术具有手术创伤小、出血量少、脊柱稳定性影响小、住院时间短的特点,是脊柱微创外科的发展方向之一。
Objective To summarize the clinical application of MED in the treatment of lumbar disc herniation, and discuss its indications, technical points, clinical effects and complications. Methods The clinical data of 177 cases （213 herniated discs） of lumbar disc herniation treated with MED were retrospectively analyzed. Results All the patients in this group were discharged at 7th day after operation. After an average follow - up of 7.8 months, 141 cases were evaluated as excellent, 27 cases as good and 9 cases as fair with the excellent percentage of 94.9% according to the Macnnab scale. Conclusion MED is characterized by minimal invasion, less blood loss, less influence on spinal stability and shortened hospital stay.
出处
《临床外科杂志》
2008年第10期696-697,共2页
Journal of Clinical Surgery
关键词
椎间盘镜
腰椎间盘突出症
microendoscopic discectomy
lumbar disc herniation
