摘要
目的 :探讨椎旁肌和棘突间骨膜下入路及直视下建立通道的可行性及优点、显微内镜下治疗腰椎间盘突出症及侧隐窝狭窄的方法及效果。方法 :应用改良入路显微内镜下治疗腰椎间盘突出症及侧隐窝狭窄症 12 6例 ,采用椎旁肌和棘突间骨膜下入路 ,直视下建立通道 ,显微内镜下扩大侧隐窝并髓核摘除术。结果 :参照陆裕朴评定标准 :优10 1例 ,良 2 0例 ,可 4例 ,差 1例。结论 :(1)椎旁肌和棘突间骨膜下入路及直视下建立通道安全迅速 ,出血少 ,并发症少。 (2 )直视下建立通道配合MED系统可完成绝大多数腰椎间盘髓核摘除及侧隐窝扩大术 ,且效果满意。
Objective:To study the feasibility and advantage of modified approach using direct vision to set up passage and to discuss the method and result of microendoscopy to treat lumbar disc herniation and lateral recess stenosis.Method:One hundred and twenty-six cases were treated by MED with modified approach,all used direct vision to set up passage-subperiosteal approach between paravertebral muscles and spinal process to dilate lateral recess and remove the nucleus.Result:According to Lu Yupu's evaluation standard,excellent effects were found in 101 cases,good in 20,fair in 4 and bad in 1 case.Conclusion:1.The main advantages of this method are safe,fast with less hemorrage and complication.2.MED with modified approach can be used in most of all cases and get good results.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第1期10-12,共3页
Orthopedic Journal of China
