摘要
181例腰椎间盘突出症均经 CT 或 MRI 证实,并测量得穿刺点距棘突旁开距离(BC),进针角度(a)。手术器械采用自制电动旋切式椎间盘摘除器。手术方式取侧卧位局麻下侧后方穿刺法。所有手术均获成功,其中74个 LS_1椎间盘穿刺均用直套管针未在髂骨翼钻孔而全获成功.116例(65.9%)获显效,32例有效(17.7%),33例无效(18.2%)。我们认为:①经皮腰椎间盘摘除术的适应证范围可放宽;②本文提出实用的穿刺参数测量精确定位法。③实际操作时进针角度(a)应宁小勿大;④多个腰椎间盘突出可在同一次手术中进行治疗:⑤并发症重在预防。
All 181 cases of intervertebral disc protrusion were shown by CT or MRI and thus the location for cente sis could be determined by the distance(BC)from spirous process and the stabing angle(α)All procedures were carried out successfully under local anesthesin by using the self-modified spinal extractor entering from lateral posterior direction with pati- ent lay on latical prone position the application of straight coaxiol needle extraction without iliac wing puncture was wholly succeeded in curing 74 L_5S_1 interbertebral disc protrusione, with conspicuaue good result in 116 cases effective in 32 and no effect in 33.Our conclusion was as following. (1)The indication for percutaneaus extraction of intervrtebral disc protrusion should be widened appropriately.(2)An accurate practical parameter for localization has been sug gested.(3)The actual needling puncture angle(α)should rather be smaller.(4)Multiple intervertebral disc protrasions could be treated simultaneously during one surgical proceduce. (5)Prevention for complication was emphysized.
出处
《介入放射学杂志》
CSCD
1994年第3期153-156,共4页
Journal of Interventional Radiology
关键词
腰椎间盘突出
腰椎间盘摘除器
X线机
介入疗法
Lumber Spine
Displacement of intuvertebrol disc
Needling puncture
Intervertebral Disc
