包容性腰椎间盘突出症的经皮摘除术

Percutaneous lumbar discectomy for contained herniation of lumbar disc.

目的 探讨腰椎间盘突出类型对经皮腰椎间盘摘除术 (PLD)疗效的影响。方法 将 15 8例腰椎间盘突出症患者按临床和影像学表现分成包容性和非包容性两组 ,采用相同的非血管介入技术并对其疗效进行对照。结果 包容性组治愈率和总有效率分别为 81.1%和 98.5 % ;非包容性组则分别为 7.7%和 38.5 %。全部病例随访时间为 3～ 73个月不等。结论 PLD治疗腰椎间盘突出症简单、安全、实用、有效 ,值得推广。但应强调适应证 。

Objective To evaluate the influence of lumbar disc herniation type on the curative effect of percutaneous lumbar discectomy (PLD). Methods 158 patients were classified into two groups including contained and discontained herniation according to clinical symptoms and diagnostic images. They were treated by meanes of the same technique in nonvascular intervention. Their curative effects were compared with each other in this study. Results The curative and total effective rates were 81.1% and 98.5% respectively in contained group, 7.7% and 38.5% in discontained group without serious complications. The duration of follow up ranged from 3 months to 73 months. Conclusions PLD is a effective procedure for lumbar disc herniation, which is relatively simple and safe with rapid recovery and without serious complications. It should be confirmed in simple contained herniation only.