腰椎间盘微创摘除手术的疗效评估

目的：分析与评估经小切口用内镜在荧屏监神下摘除腰椎间盘这一手术治疗方法的远期效果。方法：随访全部手术41例，用Nakano标准测定术后状况，优良率为92．7％；分析再次手术原因，并与其它方法进行的椎间盘摘除手术进行对比研究。结果：术后患者症状和功能障碍均消失，术后3个月均恢复原工作（41例），有3例分别于术后12、16和52个月复发，经常规开窗术治疗后，皆恢复正常。结论：微创荧屏镜下腰椎间盘摘除术创伤小，恢复快，成本低，不破坏脊柱的生物力学结构，近、远期疗效满意，是一种新型的手术选择方法。

Evaluation on results after minimal invasive videoscopic lumbar discectomy

Objective To analysis and evaluate the long term results after endoscopic lumbar discectomy, which was performed through a minor incision with guidance of TV screen Methods Forty-one operations were followed up, to evaluate their postoperative conditions according to Nakano scale, analysis the causes of repeated operations, and also compared them with other lumbar discectomy Results All symptoms and disabilities disappeared, and they return to work 3 months after treatments Three of them relapsed respectively in 12,16 and 52 months But after receiving regular treatment of open window on vertebral lamina, they all were recovered Conclusion Minimal invasive videoscopic lumbar discectomy led to less trauma, earlier recovery, lower costs and less influence on biodynamic structure of spine Its early and long term results are satisfactory So it is concerned to a new choice of operative methods