椎间盘镜治疗腰间盘突出症的体会

目的：使用椎间盘镜(MED)治疗腰间盘突出症。方法：自2001年3月至2003年4月,使用MED(德国艾克曼公司第三代)治疗腰间盘突出症43例,共44个间盘,术后抗炎、脱水和激素治疗,卧床3～7d。结果：本组病人术中平均出血量90ml,卧床时间平均5d,平均随访13个月,优良率90．7％。结论：MED治疗腰间盘突出症具有组织创伤小,康复期短,减少脊柱不稳和间盘复发等优点,只要严格掌握手术适应症此微创技术具有较好的临床价值。

The realization of MED treated prolapse of lumber intervertebral disc

Objective:Use MED to treat prolapse of lumber intervertebral disc.Methods:From March 2001 to April 2003 ,43 cases were treated by MED, there were 44 discs.All of patients were treated with antinflammation,dehydration and hormone in postoperative and rested 3 to 7 days in the bed.Result: Average bleeding volume of this group was 90 ml and average time of the bed was 5 days,excellent rate was 90.7%in average followed-up 13 months. Conclusion: MED treated prolapse of lumber intervetebral disc is small to the wound tissue,shorten healing time and reduce instability of sprine and recrudescene of herria of intervertebral disc.If we strict with operative indication, this microtrauma technology has clinical high value.