| 显微内镜手术治疗退行性局限性侧方腰椎管狭窄症 |
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| 引用本文： | 丘德赞,梁斌,尹东,韦建勋,李荣祝.显微内镜手术治疗退行性局限性侧方腰椎管狭窄症[J].微创医学,2008,3(1):16-18. |
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| 作者姓名： | 丘德赞 梁斌 尹东 韦建勋 李荣祝 |
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| 作者单位： | 广西壮族自治区人民医院骨科,南宁市,530021 |
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| 摘 要： | 目的 探讨显微腰椎间盘镜下神经根减压治疗退行性局限性侧方腰椎管狭窄症的临床价值.方法 回顾分析46例退行性侧方腰椎管狭窄症患者行后路椎板间隙显微椎间盘镜下神经根减压术的疗效.结果 46例患者平均随访16个月,疗效评定按改良MacNab标准评定:优31例,良10例,可5例.优良率91.1%.结论 微创后路椎板间隙显微腰椎间盘镜下侧方腰椎管局部减压、神经根松解,可以达到常规手术的减压效果,临床疗效满意.
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| 关 键 词： | 腰椎管狭窄症 腰椎间盘镜 微创手术 神经根减压术 内镜手术治疗 退行性 腰椎管狭窄症 stenosis spinal lumbar lateral 疗效满意 临床 减压效果 常规手术 神经根松解 局部 下侧 微创 良率 标准评定 改良 疗效评定 随访 |
| 文章编号： | 1673-6575（2008）01-0016-03 |
| 收稿时间： | 2007-10-12 |
| 修稿时间： | 2007-11-30 |
Treatment of degenerative lateral lumbar spinal stenosis with microendoscopic discectomy |
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| QIU De-zan,LIANG Bin,YIN Dong,WEI Jian-xun,LI Rong-zhu.Treatment of degenerative lateral lumbar spinal stenosis with microendoscopic discectomy[J].Minimally Invasive Medicine Journal,2008,3(1):16-18. |
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| Authors: | QIU De-zan LIANG Bin YIN Dong WEI Jian-xun LI Rong-zhu |
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| Abstract: | Objective To investigate the clinical value of treatment of degenerative lateral lumbar spinal stenosis with microendoscopic discectomy. Methods A retrospective analysis was done in 46 consecutive patients with degenerative lateral lumbar spinal stenosis underwent microendoseopic discectomy. The clinical results were evaluated according to MacNab method. Results Forty six patients were followed up for an average of 16 months. Overall,91.1% of patients had a good or excellent result. Conclusion Lateral spinal canal decompression and neurolysis using microendoscopy is a reasonable alterative to degenerative lateral stenosis that have satisfactory result and high postoperative spine stability. |
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| Keywords: | Lumbar spinal stenosis Microendoscopic discectomy Minimally invasive surgery Neurolysis |
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