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腰椎间盘突出症术后原位复发的微创治疗
引用本文:罗绍坚,黄鹦,黄春明,钟诚凡,张琛海.腰椎间盘突出症术后原位复发的微创治疗[J].吉林医学,2009,30(11):987-988.
作者姓名:罗绍坚  黄鹦  黄春明  钟诚凡  张琛海
作者单位:[1]广东省高州市人民医院,广东高州525200 [2]江西省宁都县人民医院,江西宁都342800
摘    要:目的:探讨原位腰椎间盘突出症术后复发的微创治疗方法。方法:使用显微内镜椎间盘手术系统(Microendoscoopic Discectomy,MED)从后路对19例腰椎间盘突出症术后原位复发的微创治疗。结果:19例平均随访36个月。优13例,良4例,可2例,差0例。结论:使用椎间盘镜治疗原位腰椎间盘突出症术后复发的方法有诸多优点,不经原切口,不直接剥离硬膜表面的疤痕组织,减少损伤硬脊膜、神经根的风险,并且最大限度维持脊柱的稳定性。

关 键 词:腰椎间盘突出症  复发  微创

Minimally invasive option for the treatment of lumbar disc herniation recurrence in situ
Institution:LUO Shao -jian , HUANG Ying , HUANG Chun - ming , et al ( The People's Hospital of Gaozhou City, Gaozhou 525200, China)
Abstract:Objective To discuss the minimally invasive option for the treatment of lumbar disc herniation recurrence in situ. Method Nineteen cases with lumbar disc herniation recurrence in situ were treated with microendoscopic discectomy(MED).Results Nineteen cases were followed up for 36 months on average.According to the Nakai standard,excellent was obtained in 13,good in 4, amelionrtive in 2,and poor in 0.Conclusion Minimally invasive option has efficacy in the treatment of lumbar disc herniation recurrence in situ without influence on the stability of pine,does not need to through primary incision and separate scar tissue,reduces the injury of the dura mater spinalisad and the nerve roots.
Keywords:Lumbar disc herniation  Recurrence  Minimally invasion
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