经皮椎间盘穿刺治疗腰椎间盘突出症

目的 评价经皮椎间盘穿刺(APLD)治疗腰椎间盘突出症的临床应用价值。方法 对1995年10月至2003年2月采用APLD手术治疗的324例腰椎间盘突出症进行回顾性分析，总结手术适应证的选择及术中、术后注意事项。结果 324例患者获得1～6年随访，优235例，良75例，差14例。优良率92．6％。无一例并发症。结论 经皮椎间盘穿刺治疗腰椎间盘突出症的方法比常规手术创伤小，恢复快，基本保留了脊柱后柱的完整性，对脊柱稳定影响小，手术安全。

APLD in the treatment of herniated lumbar disc

Objective To evaluate the clinical application of automatic percutaneous lumber discectomy(APLD) in the treatment of lumbar disc protrusion. Methods Clinical data from 324 patients undergoing APLD between October 1995 and February 2003 were analyzed retrospectively for the summarization of the experience in the indications and the intraoperative and postoperative management. Results A follow-up of 324 patients for 1 to 6 years found excellent surgical outcomes in 235 patients, good in 75 cases, and poor in 14 cases. The rate of excellent and good surgical outcomes was 92.6%. The 14 cases with poor surgical outcomes were recovered after reoperation. No complication was found in all the patients undergoing APLD. Conclusion Compared with the conventional operation, APLD is a minimally invasive method with quick recovery for the treatment of lumbar disc protrusion, and can preserve the unity and the stability of the posterior structure of the lumbar vertebrae.