椎间盘造影对选择椎间盘突出症介入治疗方式的意义

Value of the Discography in the Selectivity of Interventional Therapeutic Method of Herniation

目的 :探讨椎间盘造影对椎间盘突出症介入治疗方式选择的意义。材料和方法 :先行椎间盘造影 ,根据造影表现分为团块型、突出型、破裂型 3种 ,再根据不同类型分别采用椎间盘切吸术 ,盘内或硬膜外溶解术。结果 :团块型 34例 ,采用切吸术 ;突出型 76例 ,采用盘内或硬膜外溶解术 ;破裂型 6 8例 ,采用硬膜外溶解术。随访 3～ 12个月 ,术后总优良率 93 %。结论

Purpose: To discuss the value of discography in the selectvtiy of interventional therapeutic method of heniation, Materials and Methods: Before the interventional therapy of herniation, the discography were carried out. Accordding to the discography, we classified it into three types: mass, protrution, rupture, then different therapeutic methods were choosed. Results: Mass types were seen in 34 cases, treated it with percutaneous lumbar diskectomy. Protrusion types were seen in 68 cases, treated it with collagenase in the lumbar disc or outside the extradural space. Rupture types were seen in 76 cases, treated it with collagenase outside the extradural space. During the follow up 3～12 mouths, the total excellent rate was 93%. Conclusion: The discography has very important value in selecting interventional therapeutic method of herniation.