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显微椎间盘镜治疗青年腰椎间盘突出症

Microendoscopic discectomy in treatment of younger lumber intervertebral disc herniation
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摘要 目的探讨显微椎间盘镜(MED)治疗青年腰椎间盘突出症的疗效。方法应用MED治疗青年腰椎间盘突出症38例、47个间隙,常规行髓核摘除和神经减压术。结果38例均获得2~14个月随访,平均8.5个月,按Nakai分级,优良率达94.7%。结论显微椎间盘镜髓核摘除术具有手术创伤小,神经根减压彻底,术后恢复快的特点,更适合应用于青年腰椎间盘突出症,选择合适的适应证和仔细的操作是手术成功的关键。 Objective To explore the treatment effect of microendoscopic discectomy (MED)for younger lumber intervertebral disc herniation.Methods The 38 cases(47 intervertebral spaces)of younger lumber disc herniation were operated on with MED.According the conventionality-disc herniation removal and adequate decompression of the nerve root were performed.Results All the cases were followed up 2-14months (on an average 8.5 months). According to the critieria setup by Nakai,the excellent and good rate was 94.7%.Conclusion The advantages of MED are mininal invasive-adequate decompression of the nerve root and rapid recovery.MED is very adaptable to treat the younger lumber disc herniation.The suitable indication and precise surgical technique are the key points for this operation.
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出处 《实用医药杂志》 2004年第9期791-792,共2页 Practical Journal of Medicine & Pharmacy
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