摘要
目的 :通过后路显微内窥镜椎间盘摘除术 (MED)的临床应用 ,探讨其技术要点和临床效果。方法 :对 116例 (14 3个间隙 )腰椎间盘突出症 (LDH)患者施行后路显微内窥镜椎间盘摘除术 (MED) ,对其疗效进行回顾性分析。结果 :本组病人均在术后 7d内出院 ;全组病人均获得随访 ,平均随访时间 5 5个月 ,术后按Macnnab标准行功能评级 :优 68例 ,良 3 9例 ,可 9例 ,优良率 92 2 %。结论 :后路显微内窥镜椎间盘摘除术具有手术创伤小、脊柱稳定性影响小、患者术后恢复快且疗效肯定的特点 ,是脊柱微创外科的发展方向之一。
Objective:To explore the main points and clinical effects of microendoscopic discectomy (MED) through its clinical application.Method:Retrospective analysis of the clinical data of 116 cases (143 herniated discs) of lumbar disc herniation treated with MED were made.Result:All the patients of the group were discharged in 7 days after operation.After an average follow-up of 5.5 months,68 cases were evaluated as excellent,39 cases as good and 9 cases as fair according to the Macnnab scale.Conclusion:Microendoscopic discectomy is the trend of microtraumatic surgery of spine with the advantages of minimal trauma to tissue and stability of spinal column,and satisfactory effect.
出处
《中国矫形外科杂志》
CAS
CSCD
2004年第7期498-500,共3页
Orthopedic Journal of China
