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侧后路穿刺髓核钳取术治疗腰椎间盘突出症
引用本文:周建辉,李勇华,罗小芳,邓建波. 侧后路穿刺髓核钳取术治疗腰椎间盘突出症[J]. 放射学实践, 2005, 20(1): 67-69
作者姓名:周建辉  李勇华  罗小芳  邓建波
作者单位:425006,湖南,永州市中西结合医院放射科;425006,湖南,永州市中西结合医院放射科;425006,湖南,永州市中西结合医院放射科;425006,湖南,永州市中西结合医院放射科
摘    要:目的 :探讨经皮穿刺腰椎间盘钳取术治疗椎间盘突出症的疗效和适应症及安全性。方法 :在内镜监视下 ,运用侧后路穿刺 ,髓核钳直接钳取髓核治疗 61例患者。结果 :61例患者术后临床症状及体征均取得满意效果 ,按照所制定的标准评价 ,显效 3 1例 ,优良 2 1例 ,有效 7例。结论 :侧后路穿刺髓核钳取术治疗腰椎间盘突出症是一种理想的微创治疗方法 ,适应证相对较宽。

关 键 词:椎间盘移位  椎间盘切除术  穿刺术
文章编号:1000-0313(2005)01-0067-03
修稿时间:2004-02-24

Percutaneous Disectomy with Lateral-Posterior Access in the Treatment of Herniation of Lumbar Intervertebral Disc
ZHOU Jian-hui,LI Yong-hua,LUO Xiao-fang,et al.. Percutaneous Disectomy with Lateral-Posterior Access in the Treatment of Herniation of Lumbar Intervertebral Disc[J]. Radiologic Practice, 2005, 20(1): 67-69
Authors:ZHOU Jian-hui  LI Yong-hua  LUO Xiao-fang  et al.
Affiliation:ZHOU Jian-hui,LI Yong-hua,LUO Xiao-fang,et al.Department of Radiology,Yongzhou Chinese and Western Medicine Hospital,Hunan 425006,P.R.China
Abstract:Objective:To probe the therapeutic effects and indications of the percutaneous lumbar discectomy with lateral-posterior access,and to evaluate its safety.Methods:Sixty one patients with herniation of lumbar intervertebral discs were treated with disectomy using lateral-posterior access under the endoscopic monitoring.Results:The success rate of puncture in all 61 patients was 100%.Clinical symptoms and physical signs improved obviously.According to the standards of effects,of the 61 patients,the results were excellent in 33 patients,fair in 21 and good in 7.No serious complications were observed .Conclusion:The percutaneous disectomy with lateral-posterior access is a micro-invasive method for the treatment of herniation of lumbar intervertebral disc.
Keywords:Intervertebral disc displacement  Diskectomy  Punctures
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