摘要
目的：通过 MRI 评价椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床疗效。方法选择2013年1月至2016年3月收治腰椎间盘突出症患者98例，采用椎间孔镜下摘除突出髓核，术前、术后3 d 及术后3个月进行 MRI 检查，比较其椎管占位率和椎管狭窄率，观察临床疗效。结果 MRI 检查显示，术前的椎管占位率和椎管狭窄率与术后3 d 及3个月相比较，差异均有统计学意义（t ＝40．368、42．242、31．955、34．117，均 P ＜0．001）；术后3个月与术后3 d 椎管占位率和椎管狭窄率比较，差异均有统计学意义（t ＝47．619、41．946，均 P ＜0．001）。结论 MRI 影像证实，椎间孔镜下髓核摘除术治疗腰椎间盘突出症具有明显优势，该技术能够彻底地摘除腰椎突出的髓核组织，解除神经根及硬膜囊受压。
Objective To investigate the curative effect PELD discectomy in the treatment of lumbar disc herniation by MRI examination.Methods 98 cases with lumbar disc herniation from November 2013 to March 2016 were treated,they were given PELD removal of herniated nucleus pulposus,preoperative and postoperative 3 days and 3 months,MRI examination was conducted,compared the canal occupancy rates and spinal stenosis.The clinical cura-tive effect was observed.Results MRI results showed that the canal occupancy rates and spinal stenosis between pre-operation and postoperative 3 days and 3 months had significant differences （t =40.368,42.242,31.955,34.117,all P 〈0.001）.MRI showed that the spinal canal and spinal stenosis occupancy rates had significant differences between three months after surgery and three days after surgery （t =47.619,41.946,all P 〈0.001）.Conclusion MRI ima-ges confirmed that the PELD discectomy in the treatment of lumbar disc herniation has obvious advantages,the tech-nology can be removed completely protruding lumbar nucleus pulposus,relieve pressure on the nerve root and dural sac.
作者
梁慧
庞利凯
Liang Hui Pang Likai(Department of Orthopaedics , Dalian Port Hospital , Dal ian , Liaoning 116015, China Department of Orthopaedics, General Hospital of Jincheng Coal Group, Jincheng , Shanxi 048006, China)
出处
《中国基层医药》
CAS
2016年第24期3807-3809,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
关节镜检查
腰椎
椎间盘移位
磁共振成像
Arthroscopy
Lumbar vertebrae
Intervertebral disk displacement
Magnetic resonance imaging
