摘要
目的探讨小切口经椎板间开窗减压髓核摘除术治疗腰椎间盘突出症的疗效。方法随机抽取2001年1月至2008年1月腰椎间盘突出症患者120例,采用常规腰椎间盘手术器械,后正中切口2.5～4cm,在棘突旁椎板间开窗,并行神经根管减压,窗口大小约1.5cm×1.5cm,摘除髓核组织,手术时间30～90min,平均1h。结果术后随访6个月～8年,平均24个月,根据Nakai疗效评定标准:优82例,良30例,可5例,差3例,3例术后半年复发,优良率为93.3%。结论小切口经椎板间开窗减压术治疗椎间盘突出症手术创伤小,手术时间短,出血少,对腰椎后部结构破坏小,可早期下床活动,恢复快,术后并发症少,是一项安全,有效,值得推广的技术。
Objective To discuss the effect of vertebral lamina fenestration with small incision for the treatment of lumbar disc herniation（LDH）. Methods Random sample of 120 cases of patients with LDH in different intervertebral spaces form January 2001 to January 2008 were subjected to operations with conventional surgical instruments. A posterior central mini - incision about 2.5 - 4 cm was made, a mini - window about 1.5 cm × 1.5 cm opened in the interstice between the consecutive vertebral plates, and the nerve canal was depressed. Then, the vertebral pulp was removed. The whole operative time was 30 min to 1.5 h （ mean 1 h）. Results All the patients were followed up for 6 months to 8 years （mean 24 months）. According to the Nakai criteria, the outcome was excellent in 82 cases, good in 30 cases, fair in 5 cases and poor in 3 cases. The excellent - good rate was 93.3%. Recurrence occurred in 3 patients 6 months after operation. Collclusion The method of small incision technique is safe and effective with the advantages of minimal invasion, short operative time, less blood loss, minimal damage to spinal structure, more rapid recovery, out - of - bed activity in short time and fewer complication.
出处
《临床外科杂志》
2008年第9期618-620,共3页
Journal of Clinical Surgery
关键词
腰椎间盘突出症
髓核摘除术
小切口
lumbar disc herniation
removal of nucleus pulposus
small incision
