| 有限切口双侧椎板间开窗髓核摘除治疗中央型腰椎间盘突出症 |
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| 引用本文： | 熊小明,刘克彬,吕刚,万趸,江蓉华.有限切口双侧椎板间开窗髓核摘除治疗中央型腰椎间盘突出症[J].四川医学,2003,24(4):350-351. |
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| 作者姓名： | 熊小明 刘克彬 吕刚 万趸 江蓉华 |
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| 作者单位： | 1. 成都市中医医院,四川,成都,610017
2. 渠县人民医院,四川,渠县,635200 |
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| 摘 要： | 目的 探讨治疗中央型腰椎间盘突出症一种手术方法的可行性及临床效果。方法 31例中央型腰椎间盘突出症患者。单纯中央型23例，合并腰椎管狭窄4例，侧隐窝狭窄5例，合并终板撕裂1例。全组病例均手术治疗，采用有限切口，双侧椎板间开窗，经硬膜外入路摘除突出的腰椎间盘髓核。评价其治疗效果并进行6月至5年随访。结果 优14例，良13例，可3例，差1例，总优良率87．1％，手术无定位失误，近期无腰椎失稳和腰椎滑脱，无医源性腰椎管狭窄。结论 有限切口双侧椎板间开窗行中央型腰椎间盘髓核摘除，能较好地保留腰椎管后部结构，术后脊柱稳定性影响小，避免了术后硬脊膜与神经根粘连受压，手术创伤小，康复快，操作可行。对中央型腰椎间盘突出症是有效的治疗方法。
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| 关 键 词： | 腰椎间盘突出症 椎板间开窗 髓核摘除术 |
| 文章编号： | 1004-0501(2003)04-0350-02 |
Bilateral hemilaminotomy and diskectomy for posterior lumbar disk heniation |
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| Xiong Xiaoming,Liu Kebin,Lu Gang,et al..Bilateral hemilaminotomy and diskectomy for posterior lumbar disk heniation[J].Sichuan Medical Journal,2003,24(4):350-351. |
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| Authors: | Xiong Xiaoming Liu Kebin Lu Gang |
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| Institution: | Xiong Xiaoming,Liu Kebin,Lu Gang,et al.Chengdu Hospital of Traditional Chinese Medicine,Chengdu,Sichuan 610017 |
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| Abstract: | Objective To study the treatment of posterior lumbar disk herniation.Methods Thirty one patients with posterior lumbar disk hemiation were treated with bilateral bemilaminotomy and diskectomy.All the cases were followed up for six months to five years and evaluated.Results Twenty seven cases(87.1%)had good to excellent results.No case was unstable in lumbar spine.Conclusion Bilateral hemilaminotomy and diskectomy is an effective treatment for posterior lumbar disk herniation. |
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| Keywords: | Lumbar disk herniation Hemilaminotomy Diskectomy |
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