摘要
目的比较在椎间孔镜下后方腰椎板间入路和侧后方椎间孔入路治疗腰椎间盘突出症的特点和适应证。方法 2009年9月～2011年2月L5S1腰椎间盘突出的患者20例,在椎间孔镜辅助下,分别通过后方腰椎板间入路和侧后路行经皮椎间盘切除术。结果通过后方腰椎板间入路手术6例患者、侧后方椎间孔行经皮椎间盘切除术12例实施手术,1例后方椎板间入路不成功即刻改为侧后路,1例侧后路手术后3天症状改善不明显再次行开放手术。结论 L5S1腰椎间盘突出症可以通过后方腰椎板间和侧后方椎间孔两种入路,适应证各有不同,需要仔细地进行术前评估。
Objective To evlutate the technique of interlaminar and the transforaminal approach endoscopic lumbar discectomy for L5S1 disc herniation. Methods From September 2009 to February 2011 , 20 patients with lumbar radieulopathy due to L5S1 disc herniation were treated by transforaminal microendoseopie diseectomy by the technique of interlaminar and the transforaminal approach. The surgery consisted of needle insertion into the epidural space via the interlaminar space or transforaminal approach, sequential dilatation, and endoscopic discectomy. Results We performed operations on 6 patients by the technique of interlaminar endoscopic lumbar discectomy and 10 patients by the transforaminal approach. The mean fl）llow - up period was 5.6 months. Because of the puncture failure, interlami- nar approach was immediately replaced by the lateral approach in one patient. Another patient had a revision microdiseectomy due to incomplete removal of disc fragment three days later after the transforaminal approach endoscopic lumbar discectomy. Conclusion Our preliminary results show that it is effective for the treatment of L5S1 disc herniation by the technique of interlaminar and the transforaminal approach endoscopic lumbar discectomy.
出处
《医学研究杂志》
2011年第12期52-54,共3页
Journal of Medical Research
