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后路椎间盘镜治疗腰椎间盘突出症临床体会

Microendoscopic Discectomy in Treatment of Lumbar Disc Herniation

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【作者】 付士平吴文革汤林祥宋元杨杰孙平

【Author】 The Eighth People’s Hospital of Shanghai, 200233 FU Shi-ping, WU Wen-ge, TANG Lin-xiang, et al.

【机构】 上海市第八人民医院骨科上海市第八人民医院骨科 上海 200235上海 200235上海 200235

【摘要】 目的:探讨后路椎间盘镜治疗腰椎间盘突出症的应用、要点及并发症的预防。方法:应用后路椎间盘镜行腰椎间 盘摘除术122例(137个间隙)。结果:平均随访6.3个月,手术优良率97%(Macnab’s标准)。结论:椎间盘镜治疗腰椎间盘突 出症具有创伤小、恢复快、手术效果好的优点。

【Abstract】 Objective: To investigate the indication and the advantage of microendoscopic discectomy for treatment of the lumbar disc herniation. Methods: 122 cases (137 discs) of lumbar disc herniation were operated by removing the nucleus and amplified lateral recess with MED. Results: 122 cases were followed up for 1.5-13 months. The results were excellent in 87 cases , good in 32 cases and poor in 3 cases according to Machab grades. Conclusion: The MED had advantages of minitrauma, early recovery and excellent efficacy, which could be used to treat most of lumbar disc herniation and lateral recess stenosis. The suitable indication and precise surgical technique were key point for this operation.

【关键词】 显微腰椎间盘镜腰椎间盘突出症体会
【Key words】 MicroendoscopyLumbar discHerniation
  • 【文献出处】 伤残医学杂志 ,Medical Journal of Trauma and Disability , 编辑部邮箱 ,2005年01期
  • 【分类号】R687
  • 【下载频次】27
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