摘要
目的探讨椎间盘镜(MED)下手术治疗高位腰椎间盘突出症的方法及疗效。方法对9例高位腰椎间盘突出症患者选择经下关节突内侧咬除法进入椎管行MED手术。结果手术时间1.5～3(2±0.5)h,出血量50～300(80±25)ml。伤口均一期愈合,无感染发生;住院时间6～12(8±2)d,术后2 d内腰腿痛症状即有明显缓解。9例均获随访,时间1～12个月。疗效按Nakai分级评定:优8例,良1例。结论MED手术治疗高位腰椎间盘突出症具有创伤小、恢复快的优点,疗效优良。
Objective To study the result and the treating method of the high level lumbar disc herniation by microendoscopic diseectomy （MED）. Methods 9 cases of the high level lumbar disc herniation （LDH） were operated by MED through osteotomy of medial side of the inferior articular processes. Results The operating time was 1.5 - 3 （2 ± 0. 5 ）h, and the blood loss was 50 -300（ 80 ± 25 ）ml. The wound was primarily cuffed without infection ;The mean hospitalization was 6 - 12 （8 ± 2 ）d. Both the backache and the leg pain were obviously reduced in 2 days after the operation. All the 9 cases were followed up for 1 - 12 months. According to the Nakai＇s scale： the results were excellent in 8 cases and good in 1 case. Conclusions To treat the high level LDH by MED has the advantages of less trauma and superior recovery.
出处
《临床骨科杂志》
2009年第3期257-259,共3页
Journal of Clinical Orthopaedics
关键词
腰椎间盘突出症
高位
椎间盘镜
lumbar disc herniation
high level
microendoscopic
