Wang Bing-gang, Fu Yong-hui, Fu Qin, Wang Guang-bin
Department of Spine and Joint Surgery, the Affiliated Shengling Hospital of China Medical University, Shenyang 110004, Liaoning, China.
Zhongguo Gu Shang. 2009 Oct;22(10):744-6.
To analyze effect of treatment of lumbar intervertebral disc herniation with nucleus pulposus resection through small incision and lamina fenestration,and to explore operative advantage and mattars needing attention.
Ninety-six patients with lumbar intervertebral disc herniation, including 48 males and 48 females with an average age of 46.4 years (ranging for 16-75 years) and an average course of 5 years (ranging from 1 month to 30 years), were treated with nucleus pulposus resection through small incision and lamina fenestration. The clinical effects were analyzed according to JOA scoring criteria of lower back pain.
All patients were followed up from 6 months to 3.5 years with an average of 1.2 years. According to JOA scoring criteria, 34 cases obtained excellent result, 55 good, fair 7. The rate of excellent and good was 92.71% and the mean improvement rate was 54.53%.
Nucleus pulposus resection through small incision and lamina fenestration can obtain satisfactory outcome in treating lumbar intertebral disc herniation. The incidence of lumbar instability and postoperative complications were low. It is one of the better method for the treatment of lumbar intertebral disc herniation.
分析小切口开窗髓核摘除术治疗腰椎间盘突出症的效果，探讨其手术优势及注意事项。
96例腰椎间盘突出症患者，男48例，女48例，平均年龄46.4岁（16 - 75岁），平均病程5年（1个月至30年），采用小切口开窗髓核摘除术治疗。根据下腰痛的JOA评分标准分析临床效果。
所有患者随访6个月至3.5年，平均1.2年。根据JOA评分标准，优34例，良55例，可7例。优良率为92.71%，平均改善率为54.53%。
小切口开窗髓核摘除术治疗腰椎间盘突出症可获得满意疗效。腰椎不稳及术后并发症发生率低。是治疗腰椎间盘突出症较好的方法之一。
