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腰椎间盘镜下髓核摘除术治疗腰椎间盘突出症疗效分析
引用本文:蒋佑升,胡广健,陈俊柱,冯锡光. 腰椎间盘镜下髓核摘除术治疗腰椎间盘突出症疗效分析[J]. 创伤外科杂志, 2008, 10(5)
作者姓名:蒋佑升  胡广健  陈俊柱  冯锡光
作者单位:英德市人民医院骨外科,广东,英德,513000;英德市人民医院骨外科,广东,英德,513000;英德市人民医院骨外科,广东,英德,513000;英德市人民医院骨外科,广东,英德,513000
摘    要:目的 探讨显微内镜椎间盘摘除术(microendoscopic discectomy,MED)治疗腰椎间盘突出症的疗效.方法 回顾性分析32例经MED治疗腰椎间盘突出症效果.结果 32例中27例完成镜下操作,随访4~54个月,优24例,良3例;术中出血30~400ml,平均120ml,切口长度平均2cm.中转开放手术5例,马尾神经损伤1例,硬膜损伤1例,损伤椎管内静脉丛3例.结论 MED具有手术切口小、创伤小、出血少、神经根减压彻底、不影响脊柱稳定性、术后恢复快等优点,但易出现较多的并发症.

关 键 词:腰椎  椎间盘摘除术  椎间盘突出

Analysis of the efficacy of microendoscopic discectomy(MED) for lumbar intervertebral disc herniation
JIANG You-sheng,HU Guang-jian,CHEN Jun-zhu,et al.. Analysis of the efficacy of microendoscopic discectomy(MED) for lumbar intervertebral disc herniation[J]. Journal of Traumatic Surgery, 2008, 10(5)
Authors:JIANG You-sheng  HU Guang-jian  CHEN Jun-zhu  et al.
Affiliation:JIANG You-sheng,HU Guang-jian,CHEN Jun-zhu,et al.(Department of Orthopedics,Yingde People's Hospital,Yingde 513000,China)
Abstract:Objective To investigate the efficacy of microendoscopic discectomy(MED) for lumbar intervertebral disc herniation.Methods A retrospective analysis was made on 32 cases of lumbar intervertebral disc protrusion treated by microendoscopic discectomy.Results Among 32 cases,27 cases treated by microendoscopic discectomy were followed for 4~54 months,the curative outcomes were excellent in 24 cases,good in 3 cases.The blood loss was 30~400 ml(mean 120 ml).The mean length of incision was 2 cm.Five conversions to ...
Keywords:lumbar vertebra  intervertebral disc extraction  disc herniation  
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