后路椎间盘镜治疗腰椎间盘突出症的临床分析

Clinical analyse on the treatment of lumbar disc herniation by microerdoscopic diseectomy

【目的】分析经后路显微内窥镜手术治疗腰椎间盘突出症手术的疗效及并发症,进一步探讨该手术方法的适应证。【方法】对获得随访的856例患者的疗效进行分析,按Nakai分级,将疗效分为优、良、中、差4级。【结果】术后856例患者获得随访疗效分级为:优723例,良78例,可41例,差4例。优良率93.57%,4例改行常规手术治疗。【结论】经后路椎板间隙显微内窥镜手术治疗腰椎间盘突出症是一种安全有效的方法,严格选择手术适应证、熟练的操作技术是保证手术成功和减少并发症的关键。

[ Objective] To analyze the clinical effects of treatment of lumbar intervertebral disc protrusion by posterior interlaminar microendoscopic discectomy and to investigate the indications of the approachs. [Methods] 856 patients were followed up for 6 to 24 months. The chnical results were evaluated by Nakai grade. [Results] The rate of excellent result was found in 723, good result in 78, middlegrade result in 41 and had result in 4 eases. The rate of excellent and good results was 93.57% .There were 4 patients who underwent a common treatment. [ Conclusions] Microendoscopic discectomy via the posterior interlaminar space is a safe and effective approach to treat lumbar intervertebral disc protrusion. Select surgical indications strictly and manipulats skillfully will give better clinical results and reduce the incidence of surgical comphcations.