低温等离子髓核成形术治疗腰椎间盘突出症的疗效分析

目的探讨应用等离子刀融切术治疗腰椎间盘突出症的效果。方法2008年1月～2008年8月,对46例腰椎间盘突出症患者应用等离子刀手术系统对突出的腰椎间盘进行汽化消融成形术,并对其疗效进行观察分析。结果39例术后3天、4周、6个月获得随访,按改良的Macnab疗效评估标准,术后6个月优32例,良5例,可1例,差1例。优良率94.9%(37/39)。无严重并发症发生。结论等离子消融髓核成形术操作简单、安全、创伤轻微,是治疗早中期腰椎间盘突出症的安全有效的微创手术。

Percutaneous Nucleoplasty in the Treatment of the Patients with Lumbar Disc Herniation

Objective To explore the indication, methodology and effectiveness of coblation nucleoplasty in the treatment of lumbar intervertebral discprolapse. Methods Fourty-six patients with lumbar intervertebral disc prolapse underwent coblation nucleopiasty and their clinical outcome was evaluated in follow-up according to Macnab's scoring. Results The follow-up time ranged from 3 to 12 months. The result was excellent in 32 patients, good in 5, fair in 1 and poor in 1. The effectiveness rate was 94.9% in the sixth month. No complications occurred. Con- clusion The coblation necleoplasty may be a safe and effective minimally invasive procedure for lumbar intervertebral disc prolapse.