[内镜下显微椎间盘切除术治疗腰椎间盘突出症]

[Endoscopic microdiskectomy in the treatment of lumbar disk herniation].

作者信息

Korobova A N, Stepanian M A, Onopchenko E V, Kadin L A, Grigorian Iu A

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2007 Apr-Jun(2):32, 34-5.

Abstract

The authors present the results of endoscopic microdiskectomy (EMD) after J. Destandau in the treatment of lumbar disk herniation in 172 patients. After surgery, radicular pain regressed in all the patients. During EMD, dural damage with liquorrhea occurred in 4 patients. Spondylodiscitis developed in 2 patients. The mean duration of hospital treatment was 5 days. EMD could decrease the sizes of a skin incision and minimize traumatism of paravertebral soft tissues and nerve structures. It reduced the time of hospital treatment. The results of EMD are comparable with those of microsurgical diskectomy.

摘要

作者介绍了在J. 德斯坦多之后进行的内镜下显微椎间盘切除术（EMD）治疗172例腰椎间盘突出症患者的结果。术后，所有患者的神经根性疼痛均消退。在EMD手术过程中，4例患者出现硬脊膜损伤伴脑脊液漏。2例患者发生了脊椎椎间盘炎。平均住院治疗时间为5天。EMD可以减小皮肤切口的大小，并将椎旁软组织和神经结构的创伤降至最低。它缩短了住院治疗时间。EMD的结果与显微外科椎间盘切除术的结果相当。