射频消融髓核成形术治疗腰椎间盘突出症

目的：探讨射频消融髓核成形术治疗腰椎间盘突出症的手术技巧、疗效和适应证。方法：对86例腰椎间盘突出症患者采用经皮穿刺射频消融髓核成形术(nucleoplasty)治疗，并对其疗效进行观察分析。结果：86例患者经3～18个月随访，根据“中华医学会骨科分会脊柱学组腰背痛手术评定标准”，术后疗效优10例，良65例，可6例，差3例，优良率87．2％，有效率为96．5％。无相关并发症发生。结论：射频消融髓核成形术操作简单、安全，是治疗腰椎问盘突出症的有效微创手术。

The treatment of lumbar disc herniation by percutaneous radiofrequency nucleoplasty

Objective:To explore the surgical skill,effect and indication in the treatment of lumbar disc herniation by percutaneous radiofrequency nucleoplasty.Method:Eighty-six patients with lumbar disc herniation received percutaneous radiofrequency nucleoplasty were evaluated.Result:Eighty-six patients were followed prospectively from 3 to 18 months.The results were excellent in 10 patients,good 65 patients,fair 6 patients and bad 3 patients,the cure rate was 87.2%,the general clinical effective rate was 96.5%.No complications were occurred.Conclusion:The percutaneous nucleoplasty has been found to be an effective,rapid,minimally invasive and safe procedure for lumbar disc herniation.