108 cases of percutaneous lumbar disc herniation between the treatment of disc discectomy.docVIP

 PAGE \* MERGEFORMAT 6 108 cases of percutaneous lumbar disc herniation between the treatment of disc discectomy [Keywords:] lumbar disc herniation between percutaneous discectomy Automated percutaneous lumbar discectomy (Aotomated Perutaneous Lumber Discectomy, APLD) is a new treatment method for lumbar disc herniation. It is simple, less damage, is effective, rapid recovery, could partially replace the traditional laminectomy decompression. our hospital since May 1994 has been used for treatment of lumbar disc APLD 108 patients achieved a better therapeutic effect, are reported below. 1 Data and methods 1.1 Clinical data in 108 cases, 76 males and 32 females, aged 21 to 78 years, mean 36.8 years old. Which involved individual discs in 91 cases, the two discs while the incidence in 16 cases, 3 were affected discs case 1 case .108 124 CPC disc involvement, which L3 / 4 11 , L4 / 5 63 , L5 S1 34 cases. 1.2 All operations using surgical Longguan Jinan produced cutting-aspiration treatment for lumbar intervertebral disc. Patients were prone position, the lower abdomen, a soft pillow to pad the physiological lumbar curvature smaller protrusion, so that the gap widened in posterior, to puncture. puncture needle through the lumbar intervertebral disc in the back muscles to reach 1 / 3 at the junction of piercing the nucleus. and then followed along the needle-type rotary gradual expansion into the casing, and finally retained 5.6mm tube. along the tube into circular saw, cutting annulus into the nucleus. and then into the nucleus of pliers, repeatedly gripping the nucleus. Finally, the end connector into the nucleus cutter suction device repeatedly saline and rotary cutting, washing the same time to attract cutting debris. L5S1 disc herniation were 34 cases, 27 cases of a dual point of the needle, 7 cases of iliac wing punch, puncture needle into the disc within the iliac wing channel. Cutting suction tube after removal of the work, to