摘要
目的 报道经椎板显微微创腰椎间盘手术方法及临床效果。 方法 经椎板显微内窥镜下行腰椎间盘切除和侧隐窝扩大术。术中用 C型臂 X线机定位、导引 ,在荧屏监视显微内窥镜下切除纤维环和突出的椎间盘组织 ,咬除肥厚的黄韧带和增生内聚的关节突 ,扩大侧隐窝 ,对神经根进行彻底减压。 结果 手术共 32例 ,平均住院 7d,无手术并发症 ,经平均 5个月随访 ,疗效优良率达 93.7%。 结论 经椎板荧屏监视显微内窥镜椎间盘切除方法创伤小、恢复快 ,神经根减压彻底 ,疗效肯定。
Objective To report the method of performing microlumbardiscectomy and its clinical effects Method Using microendoscopic discectomy and the enlargement of lateral recess Intraoperatively, under the localization and guidance of c arm X ray computed and the monitor of fluoroscope, the annulus fibrosus and herniated disc were removed, the thickened and hypertrophic ligamentum flavum and the hyperplasia articular process were resected, the lateral recess was enlarged, the nerve roots were decompressed thoroughly Results Thirty two cases were treated, the average hospital stays were 7 days All patients had no complications 93 7% of the patients obtained excellent and good results with an average period of 5 months follow up Conclusions Microendosopic discectomy via lamina under the fluoroscope has the characteristics of minimal invasion, fast recovery and thorough decompression to the nerve root Its effect is positive
出处
《中华显微外科杂志》
CSCD
北大核心
2000年第2期109-110,共2页
Chinese Journal of Microsurgery
