小切口针对性开窗减压治疗腰椎间盘突出合并侧隐窝狭窄症

The Use of Small in Cision for the Treatment of Lumbar Disk Herniation with Lateral Recess Stenosis

目的 探讨一种即可以彻底减压 ,又可以最大限度保留腰椎稳定的手术方法。方法 依据术前准确的定位判断 ,采用 3～ 4cm较小切口开窗进入 ,选择有压迫的位置 ,针对性开窗解除脊神经受压。结果 据JOH系效评价标准手术改善率为 96 6 %。结论 本手术方法在彻底解除脊神经受压取得良好效果的同时 ,保留了腰椎的稳定性 。

Objective To observe and compare the surgery way of keeping lumbar stability and performing decompression for the treatment of lumbar dick herniation with lateral recess stenosis.Methods To loosen the compressed nerve through small incision(3～4cm),according to accurately preoperative location.Results The JOH score rises to 96.6%.Conclusion This technique has the advantages of keeping lumbar stability and performing decompression through accurately location.