经皮穿刺间盘镜下髓核分级摘除术治疗颈椎间盘突出症

目的 :探索经皮穿刺间盘镜下髓核分级摘除术 (PCAD)治疗颈椎间盘突出症的适应证及疗效。方法 :选择经临床和影像学资料确诊的颈椎间盘突出症患者 2 8例 ,实施PCAD术 ;在椎间备用镜指导下分级摘除变性髓核 ,观察术后疗效及并发症。结果 :以术后 3个月为疗效评价期 ,按MacMab标准 ,优良率达 82 2 %。X线片、CT或MRI追踪复查 ,无 1例出现颈椎失稳加重征象。结论 :间盘镜下髓核摘除具有定性准确、减压直接、操作安全、疗效可靠的优点 ,可为颈椎间盘突出症及椎间盘源性疾病的早期诊断和治疗提供一种有价值的手段

Treatment of cervical disc herniation with percutanous arthroscopic microdisectomy

Objective To study the indications and efficacy of percutanous cervical arthroscopic microdiscectomy (PCAD). Methods Twenty eight patients with cervical discs herniation or disorders received endoscopic spine surgery, 37 intervertebral cervical discs underwent partial nuclectomy or total nucleotomy; the efficacy and complication were evaluated in three months after operation. Relut Good/excellent results were obtained in 23/28(82.2%) cases according to MacNab criteria; no serious complication was found; the cervical stability did not decrease in most cases. Conclusion PCAD is a safe, accuracy and rational method in diagnosing and treating herniated cervical disc and discogenic disoorders.