经皮穿刺水刀切吸术治疗颈椎间盘突出症的疗效分析

目的 :评估经皮穿刺椎间盘水刀髓核切吸术治疗颈椎间盘突出症的疗效。方法 :自2009年2月~2011年2月选取符合本组研究标准的颈椎间盘突出症46例,在C型臂X线机、CT、DSA引导下行经皮穿刺颈椎间盘髓核切吸术。观察术后5天、90天、180天、360天的疗效。结果 :采用Williams方法进行评估,术后5天、90天、180天、360天疗效的优良率分别是82.5%、93.48%、97.83%、97.83%。结论 :经皮穿刺椎间盘水刀髓核切吸术治疗颈椎间盘突出症安全、操作流程更快捷、简单,切除的靶点明确、量化。

THE CLINIAL EFFICACY OF PERCUTANEOUS WAYER JET CUTTING AND ASPIPATION ON THE TREATMENT OF CETVICAL DISC HERNIATION

Objective: To evaluate the clinical efficacy of percutaneous water jet cutting and aspiration on the treatment of cervical disc herniation.Methods: From 2009 February to 2011 February,46 cases of cer-vical intervertebral disc protrusion were treated with percutaneous water jet cutting and aspiration guided by C arm X-ray machine,CT and DSA.Using the Williams method,the curative effects were evaluated on 5 d,90 d,180 d,360 d after operation.Results: The excellent and good rates on 5 d,90 d,180 d,360 d after operation were 82.5%,93.48%,97.83%,97.83% respectively.Conclusion: Percutaneous water jet cutting and aspiration was an effective treatment for cervical disc herniation,with the advantage of safty,more efficient,simple,resection of the clear targets,quantization.