腰椎间盘镜下髓核摘除术联合臭氧消融术治疗多节段腰椎间盘突出症效果观察

目的探讨腰椎间盘镜下髓核摘除术(MED)联合臭氧消融术治疗多节段腰椎间盘突出症的方法。方法对已确诊为多节段腰椎间盘突出症的51例患者采用MED联合臭氧消融术治疗。结果本组MED手术平均时间为75min(55～130min),平均出血量80ml(50～110ml)。无脑脊液漏、神经损伤、感染等并发症,手术切口均I期愈合。51例患者术后,优42例,良8例,可1例。结论 MED联合臭氧消融术治疗多节段腰椎间盘突出症具有创伤小、恢复快、疗效可靠的优势。

The effect observation of endoscopic disectomy in combination with ozone ablation in treating multi-segmental lumbar disc herniation

Objective To discuss the method of treating multi-segmental lumbar disc herniation by applying micro endoscopic disectomy（MED） in combination with ozone ablation. Methods 51 clinically diagnosed patients of multi-segmental lumbar disc herniation were treated with MED in combination with ozone ablation. Results In 51 cases patients, the average operative time was 75min（55 - 130min）, the average blood loss was 80ml（50 -110ml）. No cerebrospinal fluid leakage, nerve injury, infection and other complications, surgical incisions are I heal. 51 cases patients after surgery, excellent 42 cases, good 8 cases,fair 1 case. Conclusion Endoscopic disectomy in combination with ozone ablation in treating muhi-segmental lumbar disc herniation has the advantages of small trauma,rapid recovery and reliable effect.