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经皮激光椎间盘减压术治疗颈椎椎间盘突出症 被引量:8

Percutaneous laser disc decompression for cervical disc herniation
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摘要 目的探讨经皮激光椎间盘减压术在治疗颈椎椎间盘突出症的应用。方法应用SLT30半导体激光治疗仪,在C型臂X线机引导下,选择颈部前外侧经气管、食管与颈动脉鞘之间入路,用穿刺针插入椎间隙中心,然后插入光导纤维,激光输出能量为500~1000J。结果共治疗32例患者,有效率为87.5%,无一例出现感染及其他严重并发症。结论经皮激光椎间盘减压术具有创伤小、痛苦少、安全性高、恢复快等特点,是治疗颈椎椎间盘突出症的有效方法之一。 Objective To discuss the clinical application of percutaneous laser disc decompression (PLDD) in the treatment of cervical disc herniation. Methods The region between anterolateral cervical visceral sheath and carotid sheath was used as puncture access. Under C-arm fluoroscopic monitoring, the puncture needle was inserted to the cervical intervertebral space center, then, the photofiber was implanted in PLDD was performed in 32 patients of cervical disc herniation by using SLT30 semiconductor laser device with the laser output of 500 - 1 000 J. Results The effective rate was 87.5%. No infection or serious complications occurred. Conclusion Percutaneous laser disc decompression is a safe, effective and less invasive treatment for cervical disc herniation. (J Intervent Radiol, 2009, 18:113-116)
出处 《介入放射学杂志》 CSCD 北大核心 2009年第2期113-116,共4页 Journal of Interventional Radiology
关键词 经皮激光椎间盘减压术 颈椎间盘突出症 半导体激光 percutaneous laser disc decompression cervical intervertebral disc herniation semiconductor laser
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