经皮腰椎间盘摘除术治疗腰椎间盘突出症回顾性分析

目的回顾性分析经皮腰椎间盘摘除术治疗腰椎间盘突出症的疗效。方法98例患者经临床和CT(或MRI)确诊为腰椎间盘突出症,在X线透视监视下,健侧卧位,经侧后方入路插入工作套管,摘除髓核。结果术后随访6个月至3年。6个月总有效率89.79%(88/98例),显效67例(68.37%),有效21例(21.43%),无效10例(10.20%);3年总有效率87.76%(86/98例),显效69例(70.41%),有效17例(17.35%),无效12例(12.24%)。无严重并发症发生。结论经皮腰椎间盘摘除术为治疗腰椎间盘突出症的有效方法之一。

The retrospective study of percutaneous lumbar diskectomy for lumbar disc herniation

Objective To retrospectively study the effects of percutaneous lumbar diskectomy on lumbar disc herniation.Methods 98 patients with lumbar disc herniation confirmed by clinical symptoms and CT(or MRI)imaging.All of operation was performed under X-ray guidance.A working pipe was inserted from posterolateral approch to destroy the disc contents and the nucleus pulposus were extirpated. Results The patients were followed up from 6 months to 3 years after treatment.After 6 months followed up,the overall effective rate was 89.79%(88/98),excellent in 67 cases(68.37%),good in 21 cases (21.43 %)and bad in 10 cases(10.20%).Three years later,the overall effective rate was 87.76%(86/ 98),excellent in 69 cases(70.41%),good in 17 cases(17.35%)and bad in 12 cases(12.24%).There were no serious complications.Conclusion Percutaneous lumbar diskectomy is one of the effective method for the treatment of lumbar disc herniation.