经皮穿刺切割抽吸术治疗C_7～T_1椎间盘突出症

Treatment of C_7～T_1 intervertebral disc herniation by puncture cervical discotomy

目的 探索经皮穿刺切割抽吸术 (puncturecervicaldiscotomy ,PCD)治疗C7～T1椎间盘突出症的穿刺方法、可行性和疗效。方法 选择 3例C7～T1椎间盘突出症颈部瘦长的患者 ,经临床检查和MR诊断为C7～T1椎间盘突出并压迫一侧神经根 ,在X线透视定位下采取PCD术治疗。结果 选择 3例颈瘦长体型患者 ,手术均安全顺利 ,PCD术后 2个月内主要症状和体征基本消失 ;分别随访 7、11、16个月无复发。

Objective To investigate the feasibility and efficacy of treating C 7～T 1 intervertebral disc herniation by puncture cervical discotomy(PCD).Methods Three cases of C 7～T 1 intervertebral disc herniation were undergone PCD. Results All the procedures were succeeded with the main symptoms and signs of the 3 patients disappeared during 2 months after PCD. No recurrence occurred during the follow up of 7,11,16 months, respectively.Conclusion The treatment of C 7～T 1 intervertebral disc herniation by PCD is safe and effective.