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显微内窥镜下治疗腰椎间盘突出症和腰椎管狭窄症
引用本文:房传武,张建湘,任启光,郭涛.显微内窥镜下治疗腰椎间盘突出症和腰椎管狭窄症[J].临床骨科杂志,2004,7(4):450-451.
作者姓名:房传武  张建湘  任启光  郭涛
作者单位:1. 安徽医科大学第一附属医院骨科,安徽,合肥,230022
2. 武警安徽总队医院外二科,安徽,合肥,230041
摘    要:目的探讨显微内窥镜(MED)治疗腰椎间盘突出症和腰椎管狭窄症的临床效果。方法MED下切除增生内聚的关节突、肥厚的黄韧带及突出的椎间盘,彻底解除对硬膜、神经根的压迫。结果随访324例,按中华骨科学脊柱学组腰背痛手术评定标准,优297例,良14例,差13例,疗效优良率达96.0%,结论MED损伤小、恢复快、疗效好。

关 键 词:内窥镜检查  显微外科手术  椎管狭窄
文章编号:1008-0287(2004)04-0450-02
修稿时间:2004年4月21日

Treatment of lumbar disc hernination and lumbar spinal stenosis with microendoscopic discectomy system
Fang Chuanwu,Zhang Jianxiang,Ren Qiguang,Guo Tao.Treatment of lumbar disc hernination and lumbar spinal stenosis with microendoscopic discectomy system[J].Journal of Clinical Orthopaedics,2004,7(4):450-451.
Authors:Fang Chuanwu  Zhang Jianxiang  Ren Qiguang  Guo Tao
Abstract:Objective To study the clinical value of microendoscopic discectomy (MED) system for the treatment of lumbar disc hernination and lumbar spinal stenosis.Methods The completely decompression of dura mater and nerve root was performed with resection of hyperplastic convergent articular processes,hypertrophic yellow ligament and protruded intervertebral disc by MED system. Results 324 cases were followed up.According to lumbago scoring system of Chinese Spine Association, the results were excellent in 297 cases,good in 14 and poor in 13.The excellent and good rate was 96.0%. Conclusion MED has advantages of minimal invasion, rapid recovery and good effect.
Keywords:endoscopy  microsurgery  spinal canal stenosis
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