显微内窥镜腰椎间盘切除系统治疗腰椎间盘突出症

目的分析显微内窥镜腰椎间盘切除系统(MED)治疗腰椎间盘突出症的技术特点和疗效。方法54例腰椎间盘突出症行MED治疗,手术采用后路椎间盘镜手术进行“开窗”减压,髓核摘除术及神经根减压。结果随访6~12个月,按照Macnab标准:优40例,良6例,可4例,优良率92.6%。结论该方法适用于腰椎间盘突出症或伴轻度侧隐窝、神经根管狭窄的患者,近期疗效好且具有创伤小、出血少、术后恢复快等优点。

The microendoscopic discectomy in the lumbar disc herniation patients

Objective To investigate the clinical application of the microendoscopic discectomy in the lumbar disc herniation patients.Methods The clinical data were reviewed in 54 lumbar disc herniation cases who had undergone posterior the microendoscopic discectomy.45 cases were operated upon fenestration decompression procedure,nucleus pulposus extirpation and enlargement of the neural canal by the microendoscopic discectomy.Results Following up 6 months to 12 months.The evaluation with Macnab scale revealed excellent result in 40 cases,good in 6 cases,fairly good in 4 cases,the rate of good results was 92.6%.Conclusion This method is suitable for the treatment of lumbar disc herniation or with light lateral recess stenosis or neural canal stenosis.It has the advantage of good therapeutic effect in short-term and minimal invasion,quick recovery and so on.