摘要
目的:总结腰椎间盘突出症开窗减压手术方式的疗效,探讨该手术方法的改进.方法:回顾分析1997～2004年我院收治的66例腰椎间盘突出症患者的椎板开窗手术治疗效果.结果:经平均2.9年随访,按改良Macnab疗效评定标准,本组优良60例,尚可2例,较差4例,优良率93.9%.结论:椎板开窗减压术损伤小,术中力求保留腰椎后部结构的完整性,在保证手术效果的同时,尽量缩小椎板及黄韧带的切除范围,重视神经根通道的扩大,防止术后腰椎不稳,减少硬脊膜、神经根的瘢痕粘连,其疗效满意.
Objective:To summarize clinical efficacy of intervertebral foramenotomy and discetomy,and to explore improvement of surgical management for lumbar disk herniation.Methods:A retrospective analysis was carried out in 66 patients having undergone intervertebral foramenotomy and discetomy at our hospital from 1997 to 2004.Results:After a mean 2.9-year follow-up,in accordance of modified Macnab's criteria for therapeutic effectiveness,excellent and good effect was achieved in 60 cases,accounting for 93.9%;fair outcome in 2 patients;poor response was found in 4.Conclusions:Intervertebral foramenotomy and discetomy could bring much less damage to patients in treating lumbar disk herniation.And this surgical procedure could retain the completeness of posterior part of lumber vertibrate.During the operation,dissected scope should be reduced as much as possible in vertebral lamina and ligamenta flava.Nerve root channel should be enlarged.In this way postoperative instability of lumbar vertebrate would be prevented.This procedure could also result in less postoperative cicatrization and adherence of dura mater spinlis and nerve roots,and satisfactory therapeutic effectiveness.
出处
《临床误诊误治》
2005年第6期396-397,共2页
Clinical Misdiagnosis & Mistherapy
关键词
椎板切除术
椎间盘切除术
经皮
外科手术
Intervertebral foramenotomy
Discetomy,transcutaneous
Surgical operation
