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| 经单切口行双节段MED的可行性研究及疗效分析 | |
| 引用本文： | 于一帆,王宸,吴小涛,茅祖斌,陈辉,孔翔飞. 经单切口行双节段MED的可行性研究及疗效分析[J]. 东南大学学报(医学版), 2011, 30(3): 506-508. DOI: 10.3969/j.issn.1671-6264.2011.03.026 |
| 作者姓名： | 于一帆 王宸 吴小涛 茅祖斌 陈辉 孔翔飞 |
| 作者单位： | 东南大学附属中大医院,骨科,江苏,南京,210009 |
| 摘 要： | 目的:探讨经单切口行邻近双节段后路显微内镜下椎间盘摘除术(MED)的可行性及其应用价值。方法:回顾我院2006年4月至2010年4月行双节段MED治疗的腰椎间盘突出症患者的临床资料,分为单切口和双切口组,应用MacNab评分标准进行术后疗效评估。选取我院2010年1月50名成年人的腰椎MRI资料,测量腰椎相邻两椎间隙中线在皮肤上交点的距离。结果:50名成年人腰椎相邻两椎间隙(L4/L5、L5/S1)中线在皮肤上交点的距离为(9.59±1.59)mm;单切口组为(13.14±5.44)mm、双切口组为(12.84±4.50)mm。经统计学处理两组数据组间差异无统计学意义,两组各与总体间分布差异也无统计学意义(P<0.05)。随访患者手术疗效单切口组优良率为88.9%,双切口组为91.7%。结论:经单切口行邻近双节段MED治疗腰椎间盘突出症可行有效。 |
| 关 键 词： | 腰椎间盘突出症 双节段 后路显微内镜下椎间盘摘除术 |
Feasibility study and clinical effect of microendoscopic discectomy with single incision in treating double-segmental lumbar disc herniation |
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| YU Yi-fan,WANG Chen,WU Xiao-tao,MAO Zu-bin,CHEN Hui,KONG Xiang-fei. Feasibility study and clinical effect of microendoscopic discectomy with single incision in treating double-segmental lumbar disc herniation[J]. Journal of Southeast Univ: Medical Sci Ed, 2011, 30(3): 506-508. DOI: 10.3969/j.issn.1671-6264.2011.03.026 | |
| Authors: | YU Yi-fan WANG Chen WU Xiao-tao MAO Zu-bin CHEN Hui KONG Xiang-fei |
| Affiliation: | YU Yi-fan,WANG Chen,WU Xiao-tao,MAO Zu-bin,CHEN Hui,KONG Xiang-fei(Department of Orthopaedics,Zhongda Hospital,Southeast University,Nanjing 210009,China) |
| Abstract: | Objective: To explore the feasibility and application value of microendoscopic discectomy(MED) with single incision in treating double-segmental lumbar disc herniation.Methods: We retrospectively analysed the data of 21 cases of double-segmental lumbar disc herniation treated with MED from 2006 to 2010 in the Zhonga Hospital of Southeast University,the cases were divided into single-incision group and two-incision group,the effect were estimated by MacNab's criteria.We also selected the lumbar spine MRI dat... |
| Keywords: | lumbar disc herniation double-segment microendoscopic discectomy |
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