经皮等离子消融髓核成形术治疗腰椎间盘突出症:28例随访报告

Lumbar disc herniation treated with percutaneous nucleoplasty: follow-up of 28 cases

目的探讨腰椎间盘突出症的治疗方法。方法经体格检查,CT和/或MRI检查确诊的腰椎间盘突出症患者28例,采用等离子消融髓核成形术治疗,以Prolo功能和经济结果评定法和VAS评分评定疗效。结果髓核成形组总体治疗成功率82.1%;平均住院时间7.6天,复发率10.8%。并发椎间盘炎1例,进行腰椎融合术后治愈。结论髓核成形术治疗腰椎间盘突出症的满意率较高,复发率低,住院治疗时间短,创伤小,不影响再次手术治疗。髓核成形术是一种安全、有效的治疗腰椎间盘突出症的微创介入治疗新方法。

Objective To explore percutnaeous nucleoplasty in the treatment of lumbar disc herniation. Methods Twenty-eight cases of lumbar disc herniation, which were diagnosed by physical examination, CT scanning and/or MR imaging, were treated with percutaneous nucleoplasty. The patients were followed-up for 12-33 months. The results of the patients were evaluated by Prolo functional and economic rating and patients' visual analogue scales (VAS). Results The success rate was 82.1% and the mean hospital stay was 7.6 days, with a recurrence rate of 10.8%. One case of discitis was found after nucleoplasty, which was cured later by lumbar fusion later. Conclusion As a new minimally invasive technique, nucleoplasty was an effective, safe treatment for lumbar disc herniation.