摘要
目的 探讨经椎间盘镜治疗旁侧型腰椎间盘突出症或合并侧隐窝狭窄症的方法及疗效。方法 采用脊柱后路椎间盘镜技术 (MED)行旁侧型腰椎间盘突出物摘除及侧隐窝扩大术 38例。结果 35例获随访 ,时间 3～ 11个月 (平均 6个月 )。疗效优 31例、良 3例、可 1例。无差级疗效及相关并发症发生。结论 MED除能达到解除临床症状的目的外 ,主要优势为微创、腰椎后结构及软组织损伤小、出血少、患者乐于接受 ;旁侧型腰椎间盘突出症或合并侧隐窝狭窄症为最佳适应证 ;
Objective To investigate the methods and effect of microendoscopic discectomy(MED) in the treatment of lumbar lateral disc herniation combined with narrow lateral recess. Methods 38 cases of lumbar lateral disc heranition with narrow lateral recess were treated by posterior spinal approach for MED. Results 35 patients were followed up from 3 to 11 months with an average of 6 months. Excellent effects were found in 31 cases,good in 3, and fair in 1 case, without related complications. Conclusion The main advantages of MED are small incision,less hemorrage, and little soft tissue injury behind the lumbar vertebra. The patients showed good compliance. The best indication of MED is lumbar lateral disc herniation or with narrow lateral recess. MED operator should well acquaint with conventional discectomy.
出处
《临床骨科杂志》
2001年第4期259-261,共3页
Journal of Clinical Orthopaedics
