摘要
目的探讨后路椎间盘镜联合腰椎棘突间Coflex非融合固定技术治疗腰椎间盘突出症的疗效。方法对自2009年3月-2010年10月收治的15例L3、4L4、5腰椎间盘突出症，采用后路椎间盘镜下髓核摘除联合棘突间Coflex非融合固定。结果手术时间（78±12）min；出血量（102±18）ml；ODI评分：术前（35．8±1．5）％，术后3个月（12．2±1．6）％，术后12个月（9．1±1．3）%。Maenab评分结果：优6例，良8例，可1例，优良率93．3％。术前与术后功能评分有统计学意X（P〈0．05）；术前及术后3、12个月随访腰椎受累节段椎间隙后缘高度，显示术前与术后差异有统计学意义（P〈0．05）。结论后路椎间盘镜微创联合棘突间Coflex非融合技术治疗腰椎间盘突出症有较好的临床效果；对椎间盘退变的短期效果较好，长期疗效尚需积累更多手术病例和较长时间的随访。
Objective To report the outcome,radiologic findings in the patients having Lumbar intervertebral disc hernia （LDH） and undergoing posterior microendoscopic discectomy （MED） and implantation of Coflex in L4、5 and L3、4. Methods All of 15 adult patients suffering from LDH underwent implantation of Coflex （Spine motion,France） combined to MED from March, 2009 to October, 2010.The clinical evaluation included ODI scale,Macnab standard and radiologic assessment preoperative and postoperative at 3 and 12 months. Results Average operation time was （78±12）min,blood lose during operation was（102±18）ml.preoperative ODI scale was（35.8±1.5）% and postoperative ODI at 3 and 12 months is （12.2±1.6）% and （9.1±1.3）%.Maenab standard results： 6 cases were excellent, 8 were good and one is well. The excellent and good rate was 93.3%. The posterior disc height （PDH） of involved segment showed a significant change （P〈0.05） during the follow-up. Conclusion The placement of the interspinous Coflex combined with MED shows a good clinical outcome in the patients with LDH and a good result in a short period. It needs longer follow-up to observe whether this method has significantly influence on degeneration at the adjacent segments.
出处
《中国骨与关节损伤杂志》
2012年第5期412-414,共3页
Chinese Journal of Bone and Joint Injury
