脊柱显微内窥镜术治疗腰椎间盘突出症.pdf

2001,26(5) BULL HUNAN MED UNIV 457 张朝跃 ( 中南大学湘雅三医院骨科, 长沙 410013) 柏绍平 ( 湖南省临澧县人民医院骨科, 临澧 412500) [ ] 目的: 探讨脊柱显微内窥镜治疗腰椎间盘突出症的临床价值方 : 应用脊柱显微内窥镜椎间盘摘除 术(MED) , 对82例各型腰椎间盘突出症行髓核摘除, 神经根管扩大结果: 随访时间平均5 个月, 按Macnab 标准评定, 优80 例, 良2例结论: 本术式可清晰地显露椎间盘和神经根受压情况, 不破坏脊柱后柱的结构, 可保持脊柱的完整 性, 是一种微创安全可靠的技术 [ ] 内窥镜术; 椎间盘; 治疗应用 + [ ] R681. 5 3 [] A [ ] 2001 Microendoscopic disectomy in the treatment of lumbar disc herniation ZHANG haoyue (Dep artment of Orthop aedics , The Third XiangyaHosp ital, Central South University, Changsha 410013, China) BAI ShaoPing (Dep artment of Orthop aedics , The People s Hosp ital of in - li County , inli 412500, China) Abstract: Objective To investigate the clinical value of microendoscopic disectomy for the treatment of lumbosacral disc herniation(LDH) . Methods Microendoscopic disectomy (MED) techniquewas used to remove the nucleus and decompress the narrowed nerve root canalthrough an incision of 1.6 cm in length under the guid ance of the ! arm X- ray machine. Results Eighty- two patients with LDH underwent MED were followed up for 5 months. Eighty patients were evaluated as excellent, two as good according to the Macnab Scale. Con clusion The microendoscopic disectomy can clearly expose the intervertibra and the nerve root, has little influ ence on the stability of the posterior structure of the spine, and can keep the spine int