摘要
目的 :报告显微内镜椎间盘手术系统 (MED)治疗腰椎间盘突出症的治疗体会 ,探讨此技术的基本概念、手术适应证、禁忌证、手术操作要点和临床早期效果。 方法 :对 35例单或多平面腰椎间盘突出症患者均在浅硬膜外麻醉下通过脊柱MED行突出间盘摘除术 ,观察患者术后的疗效并进行分析比较。 结果 :术后患者的症状都有明显的缓解 ,虽然治疗效果与常规开放手术相同 ,但患者术后第 3天即可下床活动 ,切口仅长 1.6 cm,行皮内缝合 ,不需拆线。本组患者均在术后 3～ 5 d出院 ,无手术并发症。平均随访 10个月 ,随访期间无 1例患者出现复发、腰椎不稳。结论 :MED治疗腰椎间盘突出症的效果与常规开放手术相同 ,但该手术具有创伤小、出血少、患者术后恢复快、不影响腰椎稳定性等优点 ,是治疗腰椎间盘突出症的有效方法之一。
Objective:To summarize the experience on lumbar disc herniation treatment with microendoscopic discectomy (MED) system, and to study the basic concept, surgical technique, indication, contraindication and clinical curative effects of MED. Methods:Thirty five patients with single or 2 level lumbar disc heniation were treated with MED under epidural anesthesia. The clinical outcome and the image changes of some pre and post operative MRI were evaluated. Results: The average duration of follow up was 10 months and the successful clinical results was 97.1%. All patients apparently felt remission after operation. The therapeutic effects of MED was the same as routine open operation, but the patients were allowed to walk 3 d and were discharged 3 5 d after operation, and there was no complication occurred. The length of incision was only 1.6 cm. The image changes of pre and post operative MRI showed that the heniated disc disappeared and the compression was relieved completely. Conclusion:MED in treatment of lumbar disc herniation is a minimum invasive procedure. MED has low blood loss and little harm on spine stability, patients can recover from the surgery within 1 week.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
2001年第10期910-912,共3页
Academic Journal of Second Military Medical University
基金
上海市科技启明星计划资助项目 ( 98Q14 0 0 6 )
