后路椎间盘镜治疗腰椎间盘突出症

目的:探讨椎间盘镜(MED)镜下椎间盘摘除术治疗腰椎间盘突出症的技术要点及临床效果。方法:回顾性分析采用MED治疗的72例腰椎间盘突出症患者的临床资料及治疗效果。结果:72例得到随访,随访时间为2～24个月,平均12.8个月。依据Machnab标准:优41例、良23例、可5例、差3例,优良率达88.9%,未出现椎间隙感染及椎体滑脱。结论:采用MED治疗损伤小、痛苦轻、恢复快,符合椎间盘手术微创化趋势。

Treatment of lumbar disc herniation by posterior intervertebral disc scopye

Objective:To investigate the surgical technique main points and clinical results to treat lumbar disc herniation by microendoscopic discectomy(MED).Methods:72 cases of lumbar disc herniation treated by microendoscopic discectomy were analyzed retrospectively.Results:Follow-up period was 2 to 24 months after operation,and the average follow-up time was 12.8 months.The results,based on Macnab criteria,were excellent in 41 patients,good in 23 patients,fair in 5 patients and poor in 3 patients and the satisfactory rate was 88.9%.There was no infection of intervertebral space and olisthe of vertebral body.Conclusion:Microendoscopic discectomy is an effective method to treat lumbar disc herniation,following a minimally invasive operation tendency,has the characteristics of minimal invasion and light pain,rapid recovery.