椎板间开窗治疗腰椎间盘突出症

Intervertebral Fenestration Discectomy in the Treatment of Lumbar Disc Herniation

目的 :探讨椎板间开窗治疗腰椎间盘突出症的手术疗效。方法 :从 1988年～ 2 0 0 0年采用经后路椎板间开窗髓核摘除术治疗腰椎间盘突出症 10 2例 ,并总结相关病例临床资料 ,观察其疗效。结果 :全组诊断符合率 10 0 %,伤口均Ⅰ期愈合。 85例获随访 2a～ 10a ,平均 5 .6a。参照中华骨科学会脊柱学组手术评定标准 ,其中优 6 2 %(5 3 85 ) ,良 33%(2 8 85 ) ,差 5 %(4 85 )。无严重并发症。结论 :椎板间开窗手术对腰椎稳定性破坏小、出血少 ,术后发生神经根粘连和医源性椎管狭窄机会少 ,值得推广。

Objective:To observe results of intervertebral fenestration discectomy in the treatment of lumbar disc herniation.Methods:102 patients undering operative treatment for lumbar disc herniation during 1988 to 2000 were reviewed.Results:85 patients were followed-up for 2 to 10 years(an average of 5.6 years).95%(81/85) cases showd better outcomes whereas 5%(4/85) worse outcomes.No serious complications occurred.Conclusion:The fenestration lumbar discectomy offers the advantages of minimal damage to the spinal stability,less bleeding,and little chance of nerve root adhesion as well as iatrogenic spinal canal stenosis.