【摘要】 目的　探讨显微内镜腰椎间盘切除术 (microendoscopydiscectomy,MED)治疗腰椎间盘突出症的疗效。　方法回顾分析MED治疗 59例腰椎间盘突出症的临床资料,总结经验教训。　结果　 59例随访 4 ~24个月,平均 15个月,按Macnab评定标准,优 43例,良 14例,可 1例,差 1例,术后出现神经功能障碍,优良率 96 6% (57 /59)。　结论　MED是包容性腰椎间盘突出症的首先治疗方法,严格掌握手术适应证及提高手术技巧是MED成功的关键。更多还原

【Abstract】 Objective To explore the effectiveness of microendoscopic discectomy (MED) in the treatment of lumbar disc herniation. Methods A retrospective analysis of clinical data of 59 cases of lumbar disc herniation treated by MED was made. The experience as well as lessons was summed up. Results All the 59 cases were followed for 4~24 months (mean, 15 months). Clinical outcomes were determined according to the Macnab criteria, which revealed that 43 cases had excellent, 14 cases had good, 1 had fair, and 1 had poor outcomes (with postoperative paralysis), the “excellent or good” rate being 96.6%(57/59). Conclusions MED is the first choice for contained herniated lumbar discs. A successful MED depends upon proper selection of patients and skillful surgical techniques.更多还原