椎间盘镜手术治疗战士腰椎间盘突出症

目的　探讨脊柱后路椎间盘镜治疗战士腰椎间盘突出症的临床应用。方法　单侧或双侧入路采用椎间盘镜技术行腰椎间盘突出症髓核摘除术。术中用C型臂X线机定位、导引、准确安装 16mm工作通道 ,在影像监视系统辅助下 ,按常规开窗法完成髓核摘除和神经根减压术。结果　手术共 12例 ,随访 4～ 2 0个月 ,按照Nakai标准评定 :优 11例 ,良1例。结论　该术式具有微创手术的优势 ,不干扰腰椎的生物力学结构 ,术后恢复快 ,适合应用于战士腰椎间盘突出症。术中应注意准确定位 ,以摘除压迫神经组织的突出物为主 ,避免盲目扩大减压和过度摘除正常髓核组织

Microendoscopic Discectomy of Treatment for Lumbosacral Disc Herniation in the Soldiers

Objective To study the clinical application of posterior spinal approach for microendoscopic discectomy (MED) on treatment of lumbosacral disc herniation (LDH) in the soldiers Methods Microendoscopic technique was used to remove the nucleus and enlarge the lateral recess by single or double opening On the operation, a tubular operative corridor of 16 mm in length was established under the localization and guidance of the "C" arm X ray machine By watching the monitor and according to common opening operation way, the nucleus was removed the lateral recess was enlarged and the never root was decompressed thorouhly Results 12 cases were treated and followed up from 4～20 months, 11 were evaluated as excellent, 1 as good according to Nakai scale Conclusion The MED led to small incision Little influence on the stablity of lumbar vertebra and fast recovery It is fit for LDH in soldiers On the operation, we must exactly locate the LDH lever, mainly remove the deteriorative nuleus and avoid enlarging decompression and excessively removing the normal nuleus