后路小切口手术治疗腰椎间盘突出症的临床分析

目的探讨后路小切口手术治疗单节段腰椎间盘突出症的疗效。方法对260例单节段腰椎间盘突出症患者的手术资料及术后随访6个月至5年的资料进行分析。结果根据Nakai等疗效评定标准：优109例，良132例，可17例，差2例，脑脊液漏12例，切口积血2例，椎间隙感染1例，优良率为92．7％。结论采用后路小切口手术治疗单节段腰椎间盘突出症具有切口小、创伤小、手术时间短、术后出血少、恢复快及费用低等优点。强调术前需准确定位。

The clinical analysis of Posterior mini-incision surgery for the single segment of the lumbar disc herniation

Objective To explore the treatment and clinical characteristic of posterior mini-incision surgery for the single segment of the lumbar disc herniation.Methods Clinical data of 260 cases with single segment lumbar disc herniation were analyzed retrospectively.Results Follow-up for 6 months to 5 years,with an average of 24 months.According to Nakai effect criteria,109 cases of excellent,good in 132 cases,17 cases of fair,two cases of poor,12 cases of cerebrospinal fluid leakage,2 cases of wound hematoma,one case of vertebral space infection,resulting in 92.7%.Conclusion Advantages of posterior mini-incision surgery for the single segment of the lumbar disc herniation are small incision,less trauma,shorter operative time,less bleeding,quick recovery and low costs.Stressed the need to accuratel position preoperation.