MED efficacy of the treatment of lumbar disc herniation surgery.docVIP

 PAGE \* MERGEFORMAT 11 MED efficacy of the treatment of lumbar disc herniation surgery Study: High Ji Min, Hong Zeng Jun, Fan Wu Man [Keywords:] lumbar disc MED (Micro Endoscopic Discenctomy, MED) for lumbar disc herniation is carried out together in recent years a new technology, with less trauma, less bleeding, effective, does not interfere with biomechanical lumbar spine structure, fewer complications, and surgery the advantages of rapid recovery after [1]. We have since April 2002 to December 2005 by the United States discectomy for lumbar disc herniation in 189 cases, treatment results are reported, and efficacy of 6 cases with literature reasons for the poor. 1 Clinical data 1.1 General information on 189 patients in this group, 91 patients were male, female 98 cases, aged 22 to 71 years, average 48.3 years old. Duration of 1 week to 12 years, of which 16 cases of nucleus pulposus prolapse (both outside the hospital by the massage treatment failure To), 31 patients with lateral recess stenosis, disc herniation more than 2 gaps and 23 cases, of which 1 was treated with bilateral fenestration L4 ~ 5, and L5 ~ S1 unilateral open the window. up from 6 months to 4 years an average of 18 months. 1.2 The use of epidural anesthesia or surgical anesthesia, prone on the spine in patients after successful shelves, disinfection shop towels, the gap in the lesion level, close to the spinous process positioning guide pin inserted, with the C-arm X-ray machine to confirm. Cut On the skin about 1.6 cm, paraspinal soft tissue dissection, after the step by step set of people exposed lamina expansion tube, fixed working channel, connected imaging systems. separation, except yellow ligament and some bite lamina to expose the dura and nerve roots, exposure to prominence, with the surgical knife cut line of sight of the overhang, remove the nucleus with the nucleus tongs, spatula with the reverse will be the opposite of the projection into the disc space fir