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前腹入路经皮椎间盘切吸联合等离子消融术治疗腰椎间盘脱出

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摘要 目的探讨经前腹入路行经皮椎间盘切吸联合等离子消融术治疗腰椎间盘脱出的可行性、安全性及有效性。方法回顾性分析自2012-06—2014-06经前腹入路行经皮椎间盘切吸术联合等离子消融术的12例腰椎间盘脱出,先取前部髓核组织,再取椎间盘后缘,完毕后,将等离子刀经工作套管进行加热消融。结果 12例获得随访12~18个月,平均14个月。术后1、6、12个月VAS评分分别为（5.36±1.50）、（3.36±2.24）、（2.77±0.31）分,较术前明显降低,差异有统计学意义（P〈0.05）。根据改良Macnab标准评价手术效果：术后1个月显效5例,有效5例,无效2例;术后3个月显效7例,有效4例,无效1例;术后6个月显效8例,有效3例,无效1例。结论经前腹入路行经皮椎间盘切吸术联合等离子消融治疗椎间盘髓核脱出是一种可行的微创治疗方法,安全有效,并发症少,能够明显减轻椎间盘内压力,缓解患者症状。
作者 肖全平 牛焕章 吴春根
机构地区 河南科技大学第一附属医院介入科 上海交通大学附属第六人民医院放射介入科
出处 《中国骨与关节损伤杂志》 2016年第7期750-751,共2页 Chinese Journal of Bone and Joint Injury
关键词 腰椎间盘脱出 经前腹入路 经皮椎间盘切吸术 等离子消融术
分类号 R681.5 [医药卫生—骨科学]
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参考文献8

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中国骨与关节损伤杂志
2016年 第7期

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