摘要
目的 :探讨经皮穿刺腰椎间盘钳取术治疗椎间盘突出症的疗效和适应症及安全性。方法 :在内镜监视下 ,运用侧后路穿刺 ,髓核钳直接钳取髓核治疗 61例患者。结果 :61例患者术后临床症状及体征均取得满意效果 ,按照所制定的标准评价 ,显效 3 1例 ,优良 2 1例 ,有效 7例。结论 :侧后路穿刺髓核钳取术治疗腰椎间盘突出症是一种理想的微创治疗方法 ,适应证相对较宽。
Objective:To probe the therapeutic effects and indications of the percutaneous lumbar discectomy with lateral-posterior access,and to evaluate its safety.Methods:Sixty one patients with herniation of lumbar intervertebral discs were treated with disectomy using lateral-posterior access under the endoscopic monitoring.Results:The success rate of puncture in all 61 patients was 100%.Clinical symptoms and physical signs improved obviously.According to the standards of effects,of the 61 patients,the results were excellent in 33 patients,fair in 21 and good in 7.No serious complications were observed .Conclusion:The percutaneous disectomy with lateral-posterior access is a micro-invasive method for the treatment of herniation of lumbar intervertebral disc.
出处
《放射学实践》
2005年第1期67-69,共3页
Radiologic Practice
关键词
椎间盘移位
椎间盘切除术
穿刺术
Intervertebral disc displacement
Diskectomy
Punctures