经皮内镜射频/钬激光腰椎间盘切除术在腰椎间盘突出症中的应用（附160例报告）

目的评价经皮内镜下椎间盘切除术（PELD）治疗腰椎间盘突出症的有效性,同时探讨影响其预后的因素。方法对160例腰椎间盘突出症患者采用后外侧入路/椎板间隙入路在局麻下行经皮内镜下钬激光/射频辅助椎间盘切除术。结果 160例术后随访平均15个月（7～24个月）,根据MacNab评价标准,结果为优117例,良19例,可12例,差12例,优良率为85%。结论 PELD治疗腰椎间盘突出症是有效的。尤其适用于腰椎间盘突出症传统开放手术复发患者。

Application of Percutaneous Endoscopic RF/Holmium Laser Lumbar Discectomy in the Lumbar Disc Herniation(Attach 160 Cases Reported)

Objective To evaluate the efficacy of endoscopic discectomy for the lumbar disc herniation and to determine the prognostic factors affecting surgical outcome.Methods In the group of 160 cases,posterolateral and trans-interlaminar endoscopic Ho：YAG laser and radio frequency-assisted disc excisions were performed under local anesthesia.Results In 160 patients with post-surgical follow-up period was 15 months on average（7 ～ 24 months）.Based on the MacNab criteria,there were 117 cases in which result was excellent,in 19 cases good,in 12 cases fair,and in 12 cases poor,and successful rate was 85%.Conclusion Percutaneous endoscopy lumbar discectomy is effective for recurrent disc herniation in the selected.In applies in particular to the traditional open surgery of lumbar disc herniation in patients with recurrent.