经皮穿刺腰椎间盘摘除术治疗慢性椎间盘源性下腰痛

Percutaneous lumbar discectomy in treament of chronic discogenic low back pain

目的 评价应用经皮穿刺腰椎间盘摘除术对慢性椎间盘源性下腰痛的治疗效果。方法 应用经皮穿刺腰椎间盘摘除术治疗慢性椎间盘源性下腰痛2 6例。所有病例均在X线电视导向下进行。结果 随访3个月～4年,无严重并发症。根据MacNab腰腿痛手术评价标准,术后3～6个月随访组,2 6例中优1 5例(5 7.7%) ,良7例(2 6 .9%) ,可3例,差1例,优良率84 .6 %。7个月～1年随访组2 2例,优1 1例(5 0 .0 %) ,良6 (2 7.2 %) ,可3例,差2例,优良率77.2 %。术后1年以上随访组1 4例,优7例(5 0 .0 %) ,良4例(2 8.5 %) ,可1例,差2例,优良率78.5 %。结论 经皮穿刺腰椎间盘摘除术对慢性椎间盘源性下腰痛疗效确切。

Objective To evaluate the efficacy of percutaneous lumbar discectomy in treating chronic discogenic low back pain.Methods We retrospectively reviewed the treatment of 26 patients with chronic discogenic low back pain.All of the cases were treated with PLD under TV monitoring. Results A follow-up of 26 patients for 3 to 48 months showing no severe complication. Followed-up lasting for 3 to 6 months, 15 cases were evaluated as excellent, 7 as good, 3 as fair and 1 as poor with the excellent and good rates reaching 84.6% by MacNab standard. Followed up from 7 to 12 months, 11 cases were evaluated as excellent, 6 as good, 3 as fair and 2 as poor with total effective rate of 77.2%. 14 cases were followed up for 12 to 48 months, the results revealed excellent in 7 patients, good in 4, fair in 1, and poor in 2, the excellent and good rates reached 78.5%.Conclusions PLD is an effetive and safe procedure in treating discogenic low back pain.