| 经皮穿刺间盘镜下髓核分级摘除术治疗颈椎间盘突出症 |
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| 引用本文： | 王文军 余建民 等. 经皮穿刺间盘镜下髓核分级摘除术治疗颈椎间盘突出症[J]. 湖南医科大学学报, 2001, 26(4): 366-368 |
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| 作者姓名： | 王文军 余建民 等 |
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| 作者单位： | [1]中南大学湘雅医院骨科，长沙410008 [2]湖南省财贸医院脊柱介入治疗中心，长沙410002 |
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| 摘 要： | 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28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不可分离璋盘源性疾病的早期诊断和治疗提供一种有价值的手段。
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| 关 键 词： | 颈椎间盘突出 经皮穿刺间盘镜下髓核分级摘除术 PCAD 生物力学 |
Treatment of cervical disc herniation with percutaneous arthroscopic microdisectomy] |
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| W J Wang,J N Zhou,J M Yu. Treatment of cervical disc herniation with percutaneous arthroscopic microdisectomy][J]. Bulletin of Hunan Medical University, 2001, 26(4): 366-368 |
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| Authors: | W J Wang J N Zhou J M Yu |
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| Affiliation: | Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, China. |
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| Abstract: | OBJECTIVE: To study the indications and efficacy of percutaneous 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 disorders. |
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