经皮穿刺腰椎闻盘切除术治疗极外侧型腰椎闻盘突出症15例分析

目的：探讨经皮穿刺腰椎间盘切除手术治疗极外侧型腰椎间盘突出症的临床效果。方法：采用C-臂X光机引导下经皮腰椎椎间盘穿刺，环锯钻孔通过导管进行髓核摘除。治疗单节段极外侧型腰椎间盘突出症共15例，其中椎间孔区8例。椎间孔外区7例；男10例，女5例，年龄31-75岁，平均51岁。结果：手术时间50-120min，平均66min：出血量50-120mL，平均80mL；平均住院时间为5天。随访期间1-3年，按照Macnab标准评定，优9例，良4例，可1例，差1例，优良率为86．7％。结论：经皮穿刺腰椎间盘切除治疗极外侧型腰椎间盘突出症具有损伤小、安全、疗效显著、恢复快等优点。

Percutaneous Lumbar Discectomy for Treatment of Extreme Lateral Lumbar Disc Herniation 15 Cases

Objective： To evaluate the surgical treatment of pereutaneous lumbar discectomy for far lateral lumbar disc herniation clinical effects. Methods： C-arm X-ray machine guided percutaneous lumbar disc puncture, ring sawing drilling through the catheter discectomy. Treatment of single segment of extreme lateral lumbar disc herniation in 15 cases, of which eight cases of foramina area, foramina Outer Waters District 7 cases; 10 males and 5 females, aged from 31 to 75 years with an average age of 51 years. Resuhs： The operative time was 50-120min, an average of 66min; bleeding 50-120mL, an average of 80mL; the average length of stay is 5 days. Follow-up period of 1 to 3 years, according to Macnab criteria evaluation, were excellent in 9 cases, good in 4 cases, 1 case and poor in 1 case, the fine rate was 86.7%. Conclusions： Percutaneous lumbar discectomy treatment of extreme lateral lumbar disc herniation with a little injury, safety, efficacy significantly faster recovery and so on.