【摘要】 使用波长１．０６ｕｍ的Ｎｄ：ＹＡＧ激光（光纤直径６００ｕｍ），于１９９３年３月将经皮激光椎间盘减压术（ＰＬＤＤ）应用于临床。首批治疗腰椎间盘突出症１０例，均随访６个月；按Ｍａｃｎａｂ疗效评定标准，结果为优７例、良３例，即刻及近期疗效满意。术中采用实时超声监视激光辐射汽化过程，有助于提高操作的精确性和安全性。另就ＰＬＤＤ技术的治疗作用机理、病例选择、此技术的优越性、激光辐射要素、实时超声监视的特点及疗效等问题进行讨论。更多还原

【Abstract】 n the basis of our previous experimental studies,the technique of PLDD was introduced in cli-nical practice in March of l993.10 patients underwent PLDD utilizing Nd:YAG laser(1.06μm wave-length)with a 600μm quarz fiber.The mean follow-up period was 6 months.According to theMacnab’s criteria,excellent response Was achieved in 7 cases,and good response in 3 cases.Based uponthis early result,we conclude that PLDD with Nd:YAG laser(1.06μm)is a safe,effective and lessinvasive therapeutic modality f0r contained lumbar disc herniation,provided patients were carefullyselected.We also consider that intra-operative real-time ultrasonic monitoring is a simple and effectivemethod.The therapeutic mechanism,selection of patients, advantages of PLDD,main points of laserradiation,characteristics of real-time ultrasonic monitoring and success rate were also discussed in thearticle.更多还原