显微内窥镜下椎间盘摘除术治疗腰椎间盘突出症172例临床分析

Clinical analyse for the treatment of lumbar disc herniation by MED

目的探讨后路显微内窥镜下行腰椎间盘摘除术(Microendoscopicdiscectomy,MED)治疗腰椎间盘突出症的临床疗效及手术要点。方法自2001年3月起对172例腰椎间盘突出或脱出患者进行椎间盘摘除和侧隐窝及神经根管扩大术,对神经根彻底减压。结果近期随访3￣12个月,平均10个月,优良160例,优良率93%,无明显并发症发生。结论显微内窥镜下椎间盘摘除术治疗单纯腰椎间盘突出症创伤少、恢复快、疗效肯定。

To evaluate operation procedure, skill and clinical outcome of the microendoscopic discectomy system (MED) in the lumbar disc herniation. One hundred seventy-two patients of lumbar disc herniation were treated by the microendoscopic discectomy system (MED) from March 2001. Effectively extract prominent disc fragments and enlarge never root canal were mainly operation methods. There was a available follow-up of average 10 months in the group. 160 patients acquired satisfactory outcome, no postoperative complications. [Conclusion] It has got good results that the microendoscopic discectomy operation is used to treat pute lumbar disc herniation.