摘要
目的：探讨应用放大镜手术治疗腰椎间盘突出症的疗效。方法：对57例腰椎间盘突出症的患者行椎板减压、开窗髓核摘除术。L2～L3节段1例，L4～L5节段21例，L5～S1节段22例，L2～L3及L4～L5节段2例，L4～L5及L5～S1节段11例。结果：所有患者随访6个月～2年，平均12个月，优26例（45．696），良28例（49．1％），改善3例（5．3％），优良率94．7％。结论：应用放大镜手术治疗腰椎间盘突出症，具有切口小，创伤小，视野清晰、安全、疗效好等优点，但要注意术中术后并发症的防治。
Objective： To explore the effect of the operative treatment for lumbar disc herniation （LDH） by using magnifying-glass. Methods： A total of 57 cases of LDH were performed by laminectomy and the removal of nucleus pulposus with fenestration. 1 case was done segrnenta lumbaria[2 - 3 ], 21 cases were done segmenta lumbaria[4 5], 22 cases were done segrnenta lumbaria[5-S1 ], 2 cases were done segrnenta lumbaria[2～3 and 4～5], 11 cases were done segrnenta lumbaria[4-5 and 5～S1]. Results： All cases were followed up for 6 to 24 months, 12 months on the average. Of 26 cases were excellent（45.6% ）, 28 cases were good（49.1% ）, 3 cases were improved（5.3% ）, and the rate of excellence was 94.7%. Conclusions： The operative treatment for lumbar disc herniation by using magnifying glass has many advantages such as incision small, trauma minor, visible well, safety and curative effects excellent, but we should pay more attention to prevention and cure of complications during and after the operation.
出处
《山西职工医学院学报》
CAS
2007年第2期4-6,共3页
Journal of Shanxi Medical College for Continuing Education
关键词
放大镜
腰椎间盘突出症
手术治疗
magnifying-glass
lumbar disc herniation
operative treatment
