椎间盘镜下手术治疗高位腰椎间盘突出症

目的探讨椎间盘镜（MED）下手术治疗高位腰椎间盘突出症的方法及疗效。方法对9例高位腰椎间盘突出症患者选择经下关节突内侧咬除法进入椎管行MED手术。结果手术时间1.5～3（2±0.5）h,出血量50～300（80±25）ml。伤口均一期愈合,无感染发生;住院时间6～12（8±2）d,术后2 d内腰腿痛症状即有明显缓解。9例均获随访,时间1～12个月。疗效按Nakai分级评定：优8例,良1例。结论MED手术治疗高位腰椎间盘突出症具有创伤小、恢复快的优点,疗效优良。

The treatment of high level lumbar disc herniation by mircroendoscopic discectomy

Objective To study the result and the treating method of the high level lumbar disc herniation by microendoscopic diseectomy （MED）. Methods 9 cases of the high level lumbar disc herniation （LDH） were operated by MED through osteotomy of medial side of the inferior articular processes. Results The operating time was 1.5 - 3 （2 ± 0. 5 ）h, and the blood loss was 50 -300（ 80 ± 25 ）ml. The wound was primarily cuffed without infection ;The mean hospitalization was 6 - 12 （8 ± 2 ）d. Both the backache and the leg pain were obviously reduced in 2 days after the operation. All the 9 cases were followed up for 1 - 12 months. According to the Nakai＇s scale： the results were excellent in 8 cases and good in 1 case. Conclusions To treat the high level LDH by MED has the advantages of less trauma and superior recovery.