经皮甲状腺外缘入路介入治疗颈椎间盘突出症

Percutaneous Discectomy in the Treatment of Cervical Disc Herniation by Lateral Margin of Thyroid Gland

目的探讨经甲状腺外侧缘与颈总动脉间入路经皮穿刺切割抽吸术治疗颈椎间盘突出症的临床效果、不良反应及并发症。资料与方法15例确诊为颈椎间盘突出症患者,全部采用经甲状腺外侧缘与颈总动脉间入路经皮穿刺抽吸治疗。结果手术成功率为100%,11例症状、体征全部消失,3例部分缓解,1例无效。结论甲状腺外侧缘与颈总动脉间入路经皮穿刺切割抽吸术治疗颈椎间盘突出症,出血少,安全性高,值得推广应用。

Objective To evaluate the therapeutic effect, side effect and complications of percutaneous discectomy in the treatment of cervical disc herniation by lateral margin of thyroid gland.Materials and Methods 15 patients with confirmed cervical disc herniation were all treated using percutaneous discectomy, and an approach between lateral margin of thyroid gland and common cervical artery was adopted.Results All the procedures were performed successfully. After the treatment, symptoms and signs were completely disappeared in 11 of 15 cases, and partly dissolved in 3 cases. Only 1 case was complained of no improvement.Conclusion Percutaneous disectomy through the space between lateral margin of thyroid gland and common cervical artery is an efficient, safe and promising technique for the treatment of cervical disc herniation with less bleeding.