头灯辅助小切口治疗腰椎间盘突出并神经根管狭窄症

Small incision surgery assisted with headlight for lumbar intervertebral disc herniation combined with nerve root canal stenosis

目的:评价头灯辅助下小切口手术治疗腰椎间盘突出并神经根管狭窄症的优点及临床疗效。方法:采用冷光源头灯(Heine3S LED headlight)辅助下小切口手术治疗腰椎间盘突出并神经根管狭窄症45例,男32例,女13例;年龄36～68岁,平均53.6岁;病程6～72个月,平均29.5个月。结果:28例患者术后次日原有腰腿痛症状消失,17例症状明显减轻。经6～14个月(平均8个月)的随访,依据JOA29分法进行疗效评分,由术前7～15分(平均11.6分)改善至术后26～29分(平均28.2分),平均改善率为93.1%。结论:冷光源头灯辅助下小切口手术治疗腰椎间盘突出并神经根管狭窄症具有损伤小、操作方便、直视视野清晰、不影响脊柱的稳定性、减压彻底、疗效确实等优点。

Objective：To evaluate the advantages and clinical effect of lumbar intervertebral disc herniation combined with nerve root canal stenosis using small incision surgery assisted with headlight.Methods：Forty-five patients of lumbar intervertebral disc herniation combined with nerve root canal stenosis were treated using small incision surgery assisted with headlight.There were 32 males and 13 females aged from 36 to 68 years old with an average of 53.6 years and the course of disease from 6 to 72 months with an average of 29.5 months.Results：The radiated pain disappeared in 28 cases and obviously released in 17 cases at the 2nd day after operation.All patients were followed up from 6 to 14 months with the mean of 8 months,according to JOA scoring,the pre-operative score was 7-15（mean 11.6）,the post-operative score was 26-29（mean 28.2）,the rate of improvement was 93.1%.Conclusion：Small incision surgery headlight assisted for the treatment of lumbar intervertebral disc herniation combined with nerve root canal stenosis can achieve excellent or good results.It also has many advantages such as less trauma,easy operation,clear operative eyeshot,thorough decompression,quick recovery and so on.