腰椎间盘PLDD手术.pptxVIP

Nd:YAG激光经皮椎间盘减压（PLDD)术治疗腰椎间盘突出症的临床研究 山东省烟台经济技术开发区医院 疼痛科山东省疼痛临床研究中心烟台疼痛诊治中心 张典学 杨素琴 邢永成 王晋东 山东省疼痛临床研究中心 宋文阁 傅志俭 THE CLINICAL STUDY OF PERCUTANEOUS DISC DECOMPRESSION OF TREATING LUMBAR DISC HERNIATION WITH Nd:YAG LASER Zhang_Dianxue,Wang_Jincheng and Xing_ Yongcheng Department of Pain Yantai Economy and Technology Exploring District Shandong Province, ChinaSong_Wenge and Fu_ZhijianShandong Provincal Hospital, Shandong Province, China Objective:To study the possibility of PLDD(percutaneous laser disc decompression) and to investigate an ideal non-operative method which has long lasting effect for PLDD.?Methods:378 patients of lumbar disc herniation with PLDD were studied. All the herniated discs were irradiated with 10~20 J/S laser quantum by photic-fiber under the supervision of C-type X ray.Results: All the patients were followed and reexamined CT or MRI after one to six months of PLDD. The cured (68.52%), excellent(19.05%),moderate(11.38%), non-effect(1.05%). The excellent was 87.57%. The effective rate was 98.95%. Non-effective rate was 1.05%.?Conclusion: When irridiated with YAG laser, the neucleus pulposus was vapouring, charring and coagulating. The volume and innerpressure of the disc decreased. So the symptoms and signs improved. The main value of this methods were micro-damage, non-operation, no bleeding, no bone injury, good theraputic effect, quick recovery, lesser pain, safety and excellent long lasting effect. It is an ideal non-opertive method of treating PLDD. Key Words: PLDD Nd:YAG Laser Disc decompressionNd:YAG激光经皮椎间盘减压（PLDD)术治疗腰椎间盘突出症临床研究山东省烟台经济技术开发区医院 疼痛科山东省疼痛临床研究中心烟台疼痛诊治中心张典学 杨素琴 邢永成 王晋东 等山东省立医院 疼痛科 宋文阁 傅志俭山东省疼痛临床研究中心 宋文阁 傅志俭 为了研究经皮激光腰椎间盘减压术(Percutaneous Laser Disc Decompression . 以下简称PLDD术)的可行性，探讨治疗腰椎间盘突出症微创伤、痛苦小、恢复快、效果佳以及远期效果理想的非手术疗法，自2000年6月至今，我们采用日本产Nd:YAG Laser CL-50激光器、日立105C型臂X光机共做腰椎间盘 PLDD术378例，取得了令人满意的临床治疗效果。现报道如下：Nd:YAG激光经皮椎间盘减压（PLDD)术治疗腰椎间盘突出症的临床研究1 临床资料1.1 一般资料 本组378例中，男性198例，女性180例；年龄19-76岁，平均43.9岁；病程