经皮椎间盘切除术治疗腰椎椎间盘突出症

Treatment of lumbar disc herniation by percutaneous discectomy

目的评价经皮椎间盘切除术治疗椎间盘突出症的疗效。方法对６２例患者（７０处病灶）行欧尼克或卡宾的经皮椎间盘切除术治疗。结果随访２年２个月～７年７个月。成功率为７７．４％。术中及术后无并发症发生。结论在治疗腰椎椎间盘突出时，经皮椎间盘切除术具有并发症发生率低、易操作等优点，使得此种手术步骤较其他侵入性手术方法更为可行。

Objective To evaluate the clinical results of percutaneous discectomy for lumbar disc herniation. Methods 62 patients(70 levels) were treated by Oniks and Kambins percutaneous discectomy. Results The patients were followed up for 2 years and 2 months to 7 years and 7 months, and the results showed an overall successful rate of 77 4% and no intraoperative or postoperative complication occurred. Conclusion The percutaneous approach with the advantage of fewer complications and easy operation makes it an attractive alternative to a more invasive open procedure in the treatment of herniated lumbar disc. However, carefully selecting patients can ensure not only safety but also effective results.