摘要
目的探讨显微椎间盘镜 (MED)治疗腰椎间盘突出症的疗效及适应证。方法应用MED治疗腰椎间盘突出症83例 ,91个椎间隙 ,在硬膜外麻醉下 ,通过MED工作通道施术 ,先解除骨性狭窄 ,然后切除髓核组织。结果按 1994年中华骨科学会脊椎外科学组制定的疗效标准 ,优 6 9例 ,良 9例 ,差 5例 ,优良率 94 .0 %。结论MED治疗腰椎间盘突出症疗效肯定 ,具有微创、不破坏脊柱稳定性、恢复快等特点。选择合适的病例和仔细的操作是手术成功的关健。
Objective To explore the therapeutic effect and indication of microendoscopic discectomy (MED) in the treatment of lumber intervertebral disc herniation. Methods 83 cases(91 intervertebral spaces) of lumber disc herniation underwent MED. Osteal narrowness was removed and then disc herniation was removed under epidual anesthesia.Results According to the critieria set up by vertebra surgery team in 1994 chinese orthopaedic association, outcome was excellent in 69 cases, good in 9 cases, poor in 5 cases, with the excellent and good rate of 94.0%. Conclusion MED is a certain method to treat lumbar disc herniation, bearing characteristics of microtrauma, good vertebral stability and quick recovery. The key to successful operation is the proper select of cases and careful procedure.
出处
《中国综合临床》
北大核心
2003年第8期731-732,共2页
Clinical Medicine of China
关键词
腰椎间盘突出症
微创手术
显微椎间盘镜
Lumbar intervertebral disc herniation
Microsurgery
Microendoscopic discestomy
