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小切口椎板间开窗治疗腰椎间盘突出症
引用本文:桂召柳,程添栋,王尚仁. 小切口椎板间开窗治疗腰椎间盘突出症[J]. 安徽医学, 2003, 24(6): 20-21
作者姓名:桂召柳  程添栋  王尚仁
作者单位:芜湖市第二人民医院骨科,241000
摘    要:目的 探讨小切口椎板间开窗髓核摘除术的疗效及适应证。方法 从 1998年 5月~ 2 0 0 1年 9月采用小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症 72例。全部患者都有腰痛和一侧或双侧下肢疼痛及麻木。结果 获得随访 65例 ,随访时间最长 2 6个月 ,最短 6个月 ,平均 13个月 ,按Nakai标准评定治疗优良率为 93 .8%。结论 小切口椎盘间开窗髓核摘除术具有适应证较广、手术时间短、出血少、创伤小、手术优良率高、后期并发症少、不损害脊柱稳定性等优点 ,是治疗腰椎间盘突出症较为有效和可靠方法之一

关 键 词:小切口  椎板间开窗  腰椎盘间突出症
修稿时间:2003-03-17

Effect analysis of minimal incisional fenestration laminectomy for the treatment of lumbar disc herniation
Gui Shaoliu,Cheng Tiandong,Wang Shangren. Effect analysis of minimal incisional fenestration laminectomy for the treatment of lumbar disc herniation[J]. Anhui Medical Journal, 2003, 24(6): 20-21
Authors:Gui Shaoliu  Cheng Tiandong  Wang Shangren
Affiliation:Gui Shaoliu,Cheng Tiandong,Wang Shangren Department of Orthopedics,Wuhu Second People's Hospital,Wuhu 241000
Abstract:Objective To evaluate the therapeutic effects and indication of minimal incisional fenestration laminectomy. Methods From May 1998 to September 2001, 72 cases of lumbar disc herniation had undergone the operation with this method. All of the patients complained with lumbago and singnal or bilateral lower limbs pain and palsy. Results 65 cases had been followed up for 6~26 months averaging 13 months. According to NaKai scales score, the excellent and good rate was 93.8%. Conclusion Minimal incisional fenestration laminectomy is of more widely indications, less operative time, less blood loss, minimaldisruption, higher curalitiness, less late complications, less damage to spinalstability. The method is one of the effective and realiable method to the treatmentsof lumbar disc herniation.
Keywords:Minimal incision  Fenestration laminectomy  Interverferal disc displacement
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