摘要
目的探讨冷光源下有限化手术治疗钙化型腰椎间盘突出症的疗效。方法2000年1月-2005年6月，采用冷光源下有限化手术治疗各类钙化型腰椎间盘突出症36例。俯卧局麻，纵行切开皮肤约3cm，显露椎板下缘及椎板间隙。椎板拉钩插入关节突上缘固定，冷光源对准手术野，行椎板开窗，切除椎板下缘及下关节突内下部分，在钙化表面锐性游商，用L形骨刀凿除钙化椎间盘组织，铲平椎体后缘，并取出中心未钙化的髓核。结果手术时间（75．3±3．5）min，术中出血量（100．6±5．5）ml。术后脑脊液漏3例。36例随访6-60个月，平均27个月，36例腰痛、下肢痛、间歇性跛行全部消失，按照Nakai疗效评定标准，优30例，良4例，可2例，优良率94．4％（34／36）。结论冷光源下有限化手术治疗钙化型腰椎间盘突出症操作方便，创伤小，疗效满意。
Objective To investigate curative outcomes of the limited-incision surgery under cold light source for treating calcified lumbar disc protrusion. Methods A total of 36 patients with calcified lumbar disc protrusion underwent limited-incision surgery under cold light visualization from January 2000 to June 2005. The patients were maintained at a prone position. The operation was carried out under local anesthesia. A longitudinal skin incision around 3 cm in length was made. After the inferior border of the vertebral plate and the intervertebral space were exposed, a lamina retractor was inserted above the superior border of the articular process. Then a fenestration and a discectomy were performed under cold light visulization. Results The operative time was 75.3 ± 3.5 min and the intraoperative blood loss was 100.6 ± 5.5 ml. Cerebrospinal fluid leakage occurred in 3 patients. All the 36 patients were followed for 6 - 60 months （ mean, 27 months ）. Symptoms of low back pain, lower limb pain, and intermittent limping disappeared completely in all the 36 patients. According to the Nakai standard, the rate of excellent or good results was 94.4% （34/36）. Couclusious Limited-incision surgery under cold light source for the treatment of calcified lumbar disc protrusion offers advantages of simplicity of performance, minimal invasion, and satisfactory outcomes.
出处
《中国微创外科杂志》
CSCD
2006年第12期909-910,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
冷光源
腰椎间盘突出症
有限化手术
Cold light source
Lumbar disc protrusion
Limited-incision surgery
