经皮穿刺腰椎间盘切吸术治疗合并腰椎管狭窄的腰椎间盘突出症

目的：总结采用经皮穿刺腰椎间盘切吸术（APLD）治疗合并腰椎管狭窄的腰椎间盘突出症的经验。方法：对12例经CT扫描确诊为腰椎间盘突出症合并有腰椎管狭窄患者，术前行轴位牵引下直腿抬高试验检查。对属可逆性腰椎间突出患者，使用APLD治疗。结果：经3个月以上随访，优7例，良4例，可1例。近期优良率91．7％，未出现并发症。结论：合并腰椎管狭窄的腰椎间盘突出症不应列为APLD治疗的禁忌证。对术前行轴位牵引下直腿抬高试验检查属可逆性腰椎间盘突出的患者，仍可行APLD治疗。

Treatment of lumbar disk herniation accompanied by lumbar spinal cannal stenosis with automated percutaneous lumbar discectomy

Objective To sum up the experience of treating lumbar disk herniation complicated by lumbar spinal cannal stenosis with automated percutaneous lumbar discectomy (APLD). Methods Using APLD,12 patients suffering from the disease were treated after they were checked by axial traction straight leg raising test. Results After being followed up for over 3 months, 7 cases were excellent, 4 cases good, 1 case favorable. The short term rate of excellence was 91 7%. There was no complication. Conclusion The reversible lumbar disk herniation accompanied lumbar spinal cannal stenosis should not be a contraindication of APLD after the patients are checked with axial traction straight leg raising test (AT SLRT).