经皮Decompressor髓核旋切腰椎间盘减压术

PERCUTANEOUS DISC DECOMPRESSION WITH DECOMPRESSOR

目的:观察经皮Decompressor髓核旋切术治疗腰椎间盘突出症的临床疗效和安全性。方法:选择46例包容性腰椎间盘突出症患者,应用美国史赛克公司生产的Decompressor髓核旋切器,在X-线的引导下,经后外侧穿刺入路,行髓核旋切腰椎间盘减压术。用治疗前和治疗后三天、三个月VAS评分、SLRT及治疗优良率来评价临床疗效。结果:治疗后三天、三个月VAS评分均较治疗前明显降低(P<0.05),SLRT较治疗前明显提高(P<0.05),治疗后三天和三个月时的治疗优良率分别是82.61%和89.13%。治疗后未发现明显的并发症。结论:经皮Decompressor髓核旋切术能快速而有效达到椎间盘减压目的,具有操作简便、损伤小、安全性高、疗效好、对旋切出的髓核组织可做定量和定性分析等优点。

Objective： To assess the safety and efficacy of percutaneous disc decompression with Decompressor on treatment of lumbar disc herniation（LDH） cases. Methods： 46 contained LDH patients were employed. Under the guidance of X-ray, all of the patients were treated by disc decompression with Decompressor through posterolateral approach. The theraputic effect was evaluated by compare VAS, SLRT and good-excellent rate of therapy before and after treatment at clay 3 and month 3. Results： The VAS scores and SLRT between pre- and post-treatment were significant different （P 〈 0.05 ）. The good-excellent rate of therapy at day 3 and month 3 was 82.61% and 89.13% , respectively. There were no serious complications after the treatment. Colnclusion- Disc decompression with decompressor can treat LDH effectively and safely. The procedure has the advantages of minimal invasion, simple manipulation, high safety, good efficacy and capable of quantitative and qualitative analysis of the disc sample aspirated.