显微椎间盘镜治疗腰椎间盘突出症疗效分析

Microendoscopic discectomy for the treatment of lumbar disc herniation

目的 通过后路显微内窥镜椎间盘摘除术的临床应用 ,探讨其技术要点和临床效果。方法 对 116例 ( 14 3个间隙 )腰椎间盘突出症患者施行后路显微内窥镜椎间盘摘除术 ,对其疗效进行回顾性分析。结果 本组病人均在术后 7d内出院。全组病人均获得随访 ,平均随访时间 5 .5个月 ,术后按Macnnab标准评级 :优 68例 ,良 3 9例 ,可 9例 ,优良率 92 .2 %。结论 后路显微内窥镜椎间盘摘除术手术创伤小 ,基本不影响脊柱稳定性 。

Objective To explore the key technique and clinical effects of microendoscopic discectomy (MED).Method 116 cases (143 herniated discs) of lumbar disc herniation treated with MED were analyzed retrospectively.Result All the patients of the group were discharged in 7 days postoperatively.After an average follow-up of 5.5 months,68 cases were evaluated as excellent,39 cases as good and 9 cases as fair according to the Macnnab scale.Conclusion Microendoscopic discectomy is the trend of minimally invasive surgery of spine with the advantages of minimal trauma to tissue,minimal disturbance to stability of spinal column and satisfactory effects.