后路椎间盘镜治疗腰椎间盘突出症

The Clinical Analysis of The Microendoscopy Discectomy in Treatment of Lumbar Disc Herniation

目的:分析经后路椎板间隙入路椎间盘镜治疗腰椎间盘突出症的手术策略及探讨并发症预防与处理。方法:回顾分析经后路椎间盘镜髓核摘除术共治疗22例均为单间隙;突出间隙:L4/512例,LsS110例; 突出位置:后外侧型18间隙,中央侧偏型4间隙。结果:所有病例均获得3-10个月随访,平均6．5个月,优良率86．36％;并发症:术中硬脊膜撕裂2例,脊神经根损伤1例。结论:显微椎间盘镜髓核摘除术具有手术创伤小,不影响脊柱稳定性,组织分辨率高,神经根减压彻底,术后恢复快的优点。选择合适的适应证和仔细的操作是手术成功的关键。

Objective： To study the operative tactics and preventing or handling methods for complication of the microendoscopy discectomy in the treatment of lumbar disc herniation. Methods：22 cases with treatment of microendoscopy discectomy in lumbar disc herniation were analyzed at follow - up. Single disc herniation were in 10 cases, postlateral disc herniation in 18 cases. Centerlateral disc herniation in 4 cases. Results： All of cases were followed up 3 to 10 months,average 6.5 months,The injury of dural was in 2 cases in operation,1 were injured spinal nerve. The good rate was 86.36 %. Conclusion： The advantage of microendoscopy discectomy was minimal invasion, no influence on the stability of spine, high distinguishing- rate, adequate decompression of the nerve root and rapid recovery, the suitable indication and precise surgical technique are the key point for this operation.