摘要
目的:探索经皮穿刺椎间盘摘除术的最佳路径及安全性。方法:腹壁微创切口,送入带光源孔镜,直视下避开腹腔肠管及血管,对经皮盲穿椎间盘进行改良以减少副损伤。结果:本组76例椎间盘突出患者,共81节椎间盘治疗随访3～24个月,术后疗效优43例,占56.6%;良32例,占42.1%;差1例,占1.3%。结论:腹壁微创开孔,直视下穿刺椎间盘摘除术简单易行,安全可靠。
Objective To explore the best route and safety of the percutaneous lumbar discectomy. Method Making incision in abdominal wall minimally invasive , sengding in a endoscopy with light and avoiding intestinal canal and vascular under direct vision,to modified percutaneous punctured blindly and decrease side injury. Results 76 cases of patient in total of 81 lumbar disk undergone PLDP and follow up ranging from 3~24 months retrospectively. The effective ratios were excellent in 56.6%(43cases), good in 42.1%(32cases), bad in 1.3%(1cases). Conclustion Percutaneous lumbar discectomy under direct vision through making incision in abdominal wall minamally invasive is a feasible and safe procedure.
出处
《吉林医学》
CAS
2005年第4期397-397,共1页
Jilin Medical Journal
关键词
微创
直视穿刺
椎间盘摘除
Minamally invasive surgery
Puncture under direct vision
Lumbar discectomy
