Kim Jin-Sung, Choi Gun, Jin Sang-Ryul, Lee Sang-Ho
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, South Korea.
Photomed Laser Surg. 2009 Apr;27(2):365-9. doi: 10.1089/pho.2008.2279.
Here we report on a percutaneous endoscopic interlaminar approach using a side-firing Ho:YAG laser for the treatment of lumbar discal cyst with a successful clinical outcome. A 27-year-old man presented with left gluteal and leg pain due to a discal cyst at the L5-S1 level. A percutaneous endoscopic interlaminar approach was used to remove the cyst, achieving complete decompression of the nerve root. The symptoms were relieved and the patient was discharged the next day. A percutaneous endoscopic interlaminar approach using a side-firing Ho:YAG laser appears to be a suitable alternative treatment for selected patients with lumbar discal cysts.
在此,我们报告了一种使用侧向发射钬激光的经皮内镜椎间孔入路治疗腰椎间盘囊肿的方法,临床效果良好。一名27岁男性因L5-S1水平的椎间盘囊肿出现左臀部和腿部疼痛。采用经皮内镜椎间孔入路切除囊肿,实现神经根完全减压。症状缓解,患者次日出院。对于部分腰椎间盘囊肿患者,使用侧向发射钬激光的经皮内镜椎间孔入路似乎是一种合适的替代治疗方法。