MED治疗腰椎间盘突出.pptVIP

Surgical Technique Surgical Technique Surgical Technique Surgical Technique Cases-collecting period: 1999.2~2003.12 Number: 14cases, 14 levels Gender: 10 male, 4 female Age: 37~62yrs， average 45.3 yrs Levels of herniation: L4-5 6，L5-S1 8 Mean Follow-up: 26.5 monthes CLINICAL DATA ◆ All patients complained of radicular pain, which failed to improve with conservative care. ◆ Sensory loss: 10 cases ◆ Motor deficit: 8 cases CLINICAL MANIFESTATION Radicular pain, which failed to improve with conservative care Increasing neurologic deficit CT or MRI show far lateral lumbar disc herniation Name Wu Muzhen Age 54 Code 681192 Symptoms Radicular pain of left lower limb for 4m, aggravation for 2m Signs deficit of extension with left halluces , left Lasegue’s sign(+), Diagnosis L5-S1 LDH Sex female Nationality China Op. Date April 10, 03 Typical Case Post-operative evaluation (Modified “Macnab” Scale): Excellent 10 Good 3 Fair 1 Poor 0 Amount of herniated disc removal: 2.6g～5.8g , average 3.7g Bleeding: average 43ml * * * * * * * * * * * * * * * Shangli Liu Chunhai Li Memorial Hospital Sun Yat-Sen University microendoscopic discectomy (MED) for the treatment of far lateral lumbar disc herniation MicroEndoscopic Discectomy A new technique for the treatment of far lateral lumbar disc herniation Anaesthesia Epidural anaesthesia Local anaesthesia POSITION Prone position Abdomen hang free * * * * * * * * * * * * * * *