后路椎间盘镜治疗中央型腰椎间盘突出症的疗效分析

The treatment effect of MED in the application of lumbar central disc herniation by posterior approach

目的分析后路椎间盘镜治疗中央型腰椎间盘突出症的临床效果及可行性。方法回顾分析于2005年7月至2007年9月经后路椎间盘镜治疗的53例中央型腰椎间盘突出症病例,探讨后路椎间盘镜在中央型腰椎间盘突出症的治疗情况。按改良MacNab标准评价手术效果。结果49例患者得到随访,其中优38例,良9例,可1例,优良率为95.9%。结论后路椎间盘镜治疗中央型腰椎间盘突出症效果良好。

Objective To analyze the clinical outcome and feasibility of MED in the treatment of lumbar central disc herniation by posterior approach. Methods 53 cases of lumbar central disc herniation from Jun 2005 to Sep 2007 which received MED by posterior approach were analyzed retrospectively. 35 cases were male, and 18 cases were female, average age was 40.3 years old. The clinical outcome were evaluated according to the modified MacNab score. Results 49 cases were followed up , 38 cases got excellent result, 9 cases were good, and 2 cases were fair. Excellent and good rate was 95.9%. Conclusion The treatment was good of MED in the application of lumbar central disc herniation by posterior approach.