摘要
目的:对经皮穿刺颈椎间盘切除术相关问题进行探讨。方法:回顾性分析了自1993年7月至1998年7月完成的经皮穿刺颈椎间盘切除术(PCD)共120例。结果:对其中106例患者随访10个月~5年(平均1.2年),总有效率92.5%,术后共发生2例椎间盘炎经再次PCD及抗炎治疗痊愈。结论:PCD应选择在颈前外侧甲状腺外缘与颈动脉之间的潜在间隙进行穿刺;PCD后颈椎间盘炎可行再次PCD治疗以缩短疗程;PCD不会加重术后颈椎节段性失稳。
ObjectiveL To analyze the related problems in Percutaneous Cervical Discectomy (PCD). Methods: 120 patients with hemiation of cervical disc undergone PCD were reviewed and analyzed. Results; 106 patients had been followed up for a period from ten months to five years with total efficiency rate of 92. 5%. Two cases were complicated with cervical discitis and were recovered after repeat PCD and anti-inflammatory therapy Conclusion; The best way to puncture is located in the Anterior-lateral cervical area, just between the lateral marge of thyroid gland and carotid sheath. PCD could be used the second time to treat the discitis after PCD, which could reduce the time of hospitalization. On the other hand, PCD did not worsen segmental cervical instability.
出处
《影像诊断与介入放射学》
1999年第4期218-219,共2页
Diagnostic Imaging & Interventional Radiology