摘要
目的 探讨显微内窥镜下微创治疗椎间孔外型腰椎间盘突出症的可行性.方法 对15例椎间孔外型腰椎间盘突出症手术患者进行回顾性分析.突出间隙：L3～4 6例,L4～5 9例.手术选择后侧旁正中入路,采用MED系统完成神经根探查、减压和椎间盘髓核摘除.结果 15例术后随访6～12个月,平均8.3个月.采用改良Macnab标准评价：优8例,良5例,可2例,优良率86.7%.结论 显微内窥镜下微创经后侧旁正中入路治疗椎间孔外型腰椎间盘突出症具有创伤小、手术时间短、恢复快等特点,是一种安全有效的手术方法.
Objective To study the possibility and method of microendoseopy discectomy（MED） for extraforaminal lumbar dise herniation. Methods 15 cases with extraforaminal lumbar dise hemiation were treated with MED and were analyzed retrospectively. The herniation levels were L3～4 in 6 cases. amd L4～5 in 9. MED was performed thmugh paraspinal approach for nerve rool exploration, decompression and disceetomy. Results All cases were followed up for 6～12 months. 8.3 on average. The results were evaluated aecording to improved Macnab standard. The results were excellent in 8, good in 5 and fair in 2. The excellent and good rate was 86.7%. Conclusions Treatment of extraforaminal lumbar dise herniation with MED through paraspinal spproach has advantages of less trauma and sborter operation and quick recovery, which is a sale effective method.
出处
《临床骨科杂志》
2006年第3期217-218,共2页
Journal of Clinical Orthopaedics
