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椎间盘镜治疗极外侧型椎间盘突出症

Discectomy for the Treatment of Far Lateral Disc Herniation

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【作者】 陈海峰王健

【Author】 CHEN Hai-feng,WANG Jian (Jianhu People’s Hospital,Jianhu,Jiangsu 224700,China)

【机构】 建湖县人民医院

【摘要】 目的:探讨极外侧型腰椎间盘突出症的一种微创治疗方法。方法:运用椎间盘镜技术通过C臂机定位后行小切口治疗极外侧椎间盘突出症,从神经根管外口逆行打开根管不切除或少量切除椎板,完成髓核的摘除,神经根的松解。结果:运用椎间盘镜治疗极外侧椎间盘突出症随访2a,术后神经根压迫症状明显改善,均能恢复正常的日常生活。结论:运用椎间盘镜治疗极外侧椎间盘突出症同样可以达到彻底减压,术后患者疼痛缓解明显,同时它具有手术创伤小,不累及椎管,对脊柱的稳定性没有明显的破坏,和常规手术相比具有一定的优势。

【Abstract】 Objective To explore the extreme lateral lumbar disc herniation in a minimally invasive treatment.Methods Disc technology through the use of C-arm positioning later, a very small incision treatment of lateral disc herniation, from the nerve root canal, I do not retrograde open canal with a small amount of removal or laminectomy, to complete the nucleus removed, the nerve root-Solution. Results The use of disc for treatment of extreme lateral disc herniation 2 years follow-up, after nerve root compression symptoms improved significantly, could return to normal daily life. Conclusion The use of extreme lateral disc for the treatment of the same disc can be achieved thorough decompression, patients with apparent ease the pain, trauma surgery at the same time it is small, not involving the spinal canal, the stability of the spine no apparent damage, and conventional surgery compared with certain advantages.

  • 【文献出处】 实用医技杂志 ,Journal of Practical Medical Techniques , 编辑部邮箱 ,2008年29期
  • 【分类号】R687.3
  • 【被引频次】1
  • 【下载频次】53
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