经皮激光椎间盘减压术治疗神经根型颈椎病

Percutaneous laser disc decomperession in the treatment of cervical radiculopathy

目的 探讨经皮激光椎间盘减压术治疗神经根型颈椎病的疗效。 方法 用以色列产Sharplan 6 0 2 0半导体激光机 ,功率 0 .5～ 2 0W ,波长 810nm。在C臂X线机引导下 ,选择颈部右前侧、经气管食管与颈动脉鞘之间入路 ,将穿刺针插入椎间盘中心 ,然后插入光导纤维 ,以自动脉冲式激光烧灼髓核 ,每个椎间盘使用激光 70 0～ 10 0 0焦耳。 结果 本组 13例 19个椎间盘 ,治疗后有效率达 76 .9% ,无 1例发生感染或其他严重并发症。 结论 经皮激光椎间盘减压术治疗神经根型颈椎病安全、有效。

Objective To study the result of percutaneous laser disc decomperession (PLDD) in the treatment of cervical radiculopathy. Methods Equipped with shapulan-6020 semi-conductor device ,under X-ray monitor, the needle went into the right anterior cervical disc among the trachea and esophagus and carotid sheath, lay down fiberopitics and applied energe from 700～1000J. Results Since February 2002,13 patients were treated with PLDD. Follow-up for 3～12 months(average 6 months) ,the effective rate was 73.7%. There were no severe complication during and after operation. Conclusion PLDD is effective and safe for the treatmemt of cervical radiculopathy.