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经皮显微减压内镜下颈椎间盘切除术联合激光热椎间盘成形术

Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty.

作者信息

Chiu J C, Clifford T J, Greenspan M, Richley R C, Lohman G, Sison R B

机构信息

California Center for Minimally Invasive Spine Surgery, Thousand Oaks, USA.

出版信息

Mt Sinai J Med. 2000 Sep;67(4):278-82.

PMID:11021777
Abstract

OBJECTIVE

To study the surgical outcome of outpatient percutaneous microdecompressive endoscopic cervical discectomy with lower energy laser for shrinkage of disc material (thermodiskoplasty).

METHOD

Since 1994, 200 patients with herniated cervical discs have presented at the authors' clinic, with unilateral radicular pain. The diagnosis was confirmed by MRI or CT, and EMG.

RESULTS

At an average follow-up of 25 months, 94.5% of the cases had good-to-excellent results. Eleven patients (5.5%) remained symptomatic, with persistent neck and upper extremity pain associated with paresthesias. There were no significant postoperative complications. Average time before returning to work was 10 days.

CONCLUSIONS

Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty has proven to be a safe and efficacious minimally invasive procedure.

摘要

目的

研究门诊经皮微减压内镜下颈椎间盘切除术联合低能量激光使椎间盘物质皱缩(热椎间盘成形术)的手术效果。

方法

自1994年以来,200例颈椎间盘突出症患者因单侧神经根性疼痛就诊于作者所在诊所。诊断通过MRI或CT以及肌电图得以证实。

结果

平均随访25个月时,94.5%的病例效果良好至极佳。11例患者(5.5%)仍有症状,伴有颈部和上肢持续疼痛及感觉异常。术后无明显并发症。平均恢复工作时间为10天。

结论

经皮微减压内镜下颈椎间盘切除术联合激光热椎间盘成形术已被证明是一种安全有效的微创手术。

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