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经椎间盘镜髓核摘除术治疗腰椎间盘突出症
引用本文:李锦军,王炳强,李东,杨雍,赵易.经椎间盘镜髓核摘除术治疗腰椎间盘突出症[J].临床和实验医学杂志,2002,1(2):120-122.
作者姓名:李锦军  王炳强  李东  杨雍  赵易
作者单位:首都医科大学附属北京友谊医院骨科,100050
摘    要:目的:探讨经椎间盘镜髓核除术的适应证、并发症及疗效。方法:2000年10月至2001年9月共开展经椎间盘镜髓核除术29例,男性17例,女性12例,年龄27-58岁,平均42岁,术后随访平均3个月,结果:所有病例均获随访,其中疗效为优19例,疗效为良9例,疗效差1例,优良率达96.6%,神经根损和硬膜破裂各有1例,并发症发生率为6.9%,结论:经椎间盘镜髓核除术具有创伤小、术后恢复快,花费少等优点,适用于除复发性和伴严重椎管狭窄症以外的腰椎间盘突出症病例。

关 键 词:经椎间盘镜髓核摘除术  治疗  腰椎间盘突出症  适应证  并发症  疗效分析
文章编号:1671-4695(2002)02-0120-03

Microendoscopic discetomy for the treatment of lumbar disc herniation
LI Jinjun,WANG Bingqiang,LI Dong,YANG Yong,ZHAO Yi.Microendoscopic discetomy for the treatment of lumbar disc herniation[J].Journal of Clinical and Experimental Medicine,2002,1(2):120-122.
Authors:LI Jinjun  WANG Bingqiang  LI Dong  YANG Yong  ZHAO Yi
Institution:LI Jinjun,WANG Bingqiang,LI Dong,YANG Yong,ZHAO Yi Department of Orthopaedic Surgery,Beijing Friendship Hospital affi liate of Capital University of Medical Sciences,Beijing,100050,China
Abstract:Objectives To discuss the indication,complication and efficacy of Microendoscopy discectomy (MED) for the treatment of lumbar disc herniation Methods Twenty nine cases of lumbar disc herniation were operated with MED from October, 2000 to September, 2001 Among them, there were 17 males, 12 females, and average age were 42 years old, average follow up date was 3 months Results All the cases were followed up, with the results of excellent in 19 cases, good in 9 cases, fail in 1 case The Rate of excellent and good was 96 6% Meanwhile, there were one case of nerve root injury and one case of dura laceration Conclusions The advantages of MED were minimal invasive, rapidly recovery and cheap It can be used for the treatment of all types of lumbar disc herniation except revision cases and combined serious lumbar stenosis
Keywords:Microendoscopy  Discectomy  Lumbar disc herniation
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