摘要
目的探讨极外侧型腰椎间盘突出症的临床特征和术式选择.方法13例极外侧型腰椎间盘突出症患者中,椎间孔内型8例,椎间孔外型5例.分别采用单侧后路椎板减压、切除关节突关节、摘除椎间盘,并进行后路椎间植骨融合内固定手术和横突间入路单纯摘除椎间盘手术.结果13例患者均获得随访,平均随访18个月.疗效按照Macanab分级和VAS评定:本组优8例,良4例,可1例,差0例,总优良率92.31%.术前腿痛平均VAS评分为8分,术后为1.4分,术前腰痛VAS评分为1.6分,术后为1分.结论对椎间孔内型采用单侧后路椎板减压、髓核摘除间植骨融合内固定术;对椎间孔外型,采用横突间入路单纯摘除椎间盘术疗效满意.
Objective To study the clinical characteristics of far lateral lumbar disc herniation （FLLDH） and the appropriate operation way. Methods Thirteen patients with far lateral disc herniation were divided into two types by the place of herniated disc, that was foraminal disc herniation and extraforaminal disc herniation. The patients with foraminal disc herniation were treated with posterior lumbar interbody fusion （PLIF） while the patients with extraforaminal disc herniation were treated with intertransverse approach discectomy （IAD）. Results All cases were observed for 6 to 24 months （average 18 months）. Clinical outcomes were assessed by Macanab and Visual Analogue Score （VAS）. The postoperative overall excellent and good rate wre 92.31%. The average preoperative leg pain VAS score was 8 points, 1.4 points after surgery, low back pain VAS score was 1.6 points before surgery, 1 points after surgery. Conclusions The patients with far lateral lumbar disc herniation should be treated with different operations according to its types, choosing a appropriate operative way is a key to get satisfactory result.
出处
《昆明医学院学报》
2011年第11期124-127,共4页
Journal of Kunming Medical College
关键词
极外侧型腰椎间盘突出症
分型
手术治疗
Far lateral lumbar disc herniation
Classification
Surgical treatment
