等离子射频髓核成形术治疗腰椎间盘突出症

目的探讨应用等离子射频髓核成形术治疗腰椎间盘突出症的疗效。方法应用等离子手术系统治疗腰椎间盘突出症40例，先行椎间盘造影，阳性后行等离子射频髓核成形术。结果40例44个椎间隙穿刺均顺利。40例随访2～8个月，平均5个月，参照13本Nakano腰背痛手术评定标准，优8例，良29例，优良率92％（37／40），其中中央型优良率80％（8／10），单侧型97％（29／30）。未发生并发症。结论等离子射频髓核成形术是治疗腰椎间盘突出症的一种简单、安全、有效的微创手术。

Coblation Nucleoplasty for Lumbar Disc Herniation

Objective To explore the efficacy of coblation nucleoplasty for the treatment of lumber disc herniation. Methods A total of 40 patients with lumber disc herniation were treated with coblation nucleoplasty in our hospital. Discogram was taken before the surgery. The patients with negative results were excluded from this series. Results The operation was completed in all the 40 cases （44 interspinous spaces）. They were followed up for 2 to 8 months （mean 5 months）. According to the Nakano＇ s criteria, the outcome of the surgery was excellent in 8 and good in 29, accounting for 92% （37/40） of the patients. In the patients with central type lumber disc herniation, 8 （80%, 8/10） had excellent or good outcome; whereas, in those with lateral type herniation, 97% （29） of the 30 patients had such results. None of this series had complications. Conclusion Coblation nucleoplasty is a simple, safe, and effective surgery with minimal invasion for lumber disc herniation.