脊柱后路显微内窥镜下手术治疗腰椎间盘突出症的临床应用

The clinical application of microendoscopic discectomy via spinal posterior access in the treatment of lumber disc herniation

目的探讨脊柱后路显微内窥镜下椎间盘切除术(MED)治疗腰椎间盘突出症的临床效果和应用价值。方法自1999年9月～2002年10月,对腰椎间盘突出症152例患者采用椎板间隙入路显微内窥镜下椎间盘切除术治疗,随访观察临床疗效。结果113例获得3～19个月随访,按Macnab疗效评定标准,优86例,良21例,可4例,差2例,手术优良率94.6%。结论只要掌握好适应证,应用椎板间隙入路显微内窥镜下椎间盘切除术治疗腰椎间盘突出症具有创伤小、术后恢复快、手术安全性好等优点,疗效可靠。

Objective To explore the clinical effects and application value of microendoscopic discectomy via spinal posterior access in the treatment of lumbar disc herniation. Methods Microendoscopic intervertebral space discectomy was performed for 152 patients with prolapse of lumbar intervertebral disc. The follow-up of clinical effects was carried out. Results 113 patients were followed up for 3 to 19 months. By Macnab standards, the rusult was excellent in 86 patients, good in 21, fair in 4, and poor in 2. The excellent and good rate was 94.6%. Conclusion Microendoscopic discectomy is an ideal method to treat lumbar disc herniation if the indications are suitable, for it is minimally invasive, and provides rapid postoperative recovery, good operation safety, as well as reliable effects.