| 显微内窥镜下治疗多节段腰椎间盘突出症的手术策略 |
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| 引用本文： | 彭耀庆,杨檑,江皓. 显微内窥镜下治疗多节段腰椎间盘突出症的手术策略[J]. 中国脊柱脊髓杂志, 2003, 13(2): 79-81 |
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| 作者姓名： | 彭耀庆 杨檑 江皓 |
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| 作者单位： | 中南大学湘雅三医院骨科,410013,湖南省长沙市 |
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| 摘 要： | 目的:探讨多节段腰椎间盘突出症经脊柱后路显微内窥镜下椎间盘切除术(microendoscopicdiscecto鄄my,MED)治疗的最佳方案。方法:对33例多节段腰椎间盘突出症患者(B组)的各突出椎间盘进行CT形态学分型,根据分型选择部分间隙实施MED,并与24例未做分型治疗的多节段腰椎间盘突出症患者(A组)进行比较。结果:A组的手术侵袭性与平均手术时间均明显大于B组(P<0.001),而手术优良率则明显低于B组(P<0.05)。结论:对多节段腰椎间盘突出症分型施行MED治疗可获得较佳疗效。
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| 关 键 词： | 腰椎间盘突出症 多节段 外科治疗 显微内窥镜 |
| 文章编号： | 1004-406X(2003)-02-0079-03 |
| 修稿时间： | 2002-03-26 |
The operative strategy for the treatment of multi-segmental lumbar disc herniation by MED |
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| PENG Yaoqing,YANG Lei,JIANG Hao. The operative strategy for the treatment of multi-segmental lumbar disc herniation by MED[J]. Chinese Journal of Spine and Spinal Cord, 2003, 13(2): 79-81 |
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| Authors: | PENG Yaoqing YANG Lei JIANG Hao |
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| Affiliation: | PENG Yaoqing,YANG Lei,JIANG Hao Department of Orthopaedics,the Third Xiangya Hospital,Central South University,Changsha,410013,China |
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| Abstract: | Objective: To explore the best operative scheme to treat multi-segmental lumbar disc herniation by microendoscopic discectomy(MED). Method:Thirty-three cases were treatment in some selected vertebral spaces with multi-segmental lumbar disc herniation(group B) based on Computer tomography morphological typing.The effect with that of 24 cases with multi-segmental lumbar disc herniation(group A) without typing treatment were compared.Result:The invasion and the time of operation in group A were markedly more than those of group B(P<0.001),whereas the satisfactory rate of operation in group A was obviously less than that of group B (P<0.05).Conclusion:Typing treatment is the best scheme to treat multi-segmental lumber disc herniation by MED at present. |
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| Keywords: | Lumbar disc herniation Multi-segment Surgical treatment Microendoscopic |
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