钙化型腰椎间盘突出症的手术实施及技巧

Operation and Technique of Calcify Lumbar Intervertibral Disc Herniation

目的探讨钙化型腰椎间盘手术方法和技巧。方法手术治疗钙化型腰椎间盘突出症35例，通过回顾性分析，评价疗效。结果35例顺利摘除钙化的椎间盘。术后随访1—2年，平均1．6年，根据Macnab改良的疗效评定标准，优28例（80．0％），良5例（14．3％），可2例（5．7％），优良率94．3％。3例硬脊膜损伤，修补后无脑脊液漏。1例神经根牵拉伤，神经营养治疗后3月恢复。结论钙化型腰椎间盘突出症是一种特殊类型的椎间盘突出症，手术方法有别于普通的髓核摘除手术。手术中需要借助一些特殊的工具和技巧，方能达到治疗目的。

Objective To explore the operating technique and method of calcifying herniation of lumbar intervertibral disc. Methods 35 cases with calcifying lumbar intervertibral disc herniation were operated and retrospective analyzed. The effect was evaluated. Results All patients were followed-up for 1 to 2 years（ averaged 1.6 years）. According to Maenab modified evaluated system,28 cases （80. 0% ）were excellent,5 cases （ 14. 3% ）were good,2 cases were moderate. The excellent and good rate were 94. 3%. Dura injury were found in 3 cases and was repaired. No leakage of cerebrospinal fluid was found. Nerve root traction injury was found in 1 cases. Neurotrophy treatment was performed for 3 months. Conclusion Calcifying lumbar intervertibral disc herniation was a special type. Special instrument and technique was helpful to the operation.