Krupp W, Schattke H, Müke R
Neurochirurgische Klinik, Alfried Krupp Krankenhaus, Essen, Federal Republic of Germany.
Acta Neurochir (Wien). 1990;107(1-2):22-9. doi: 10.1007/BF01402608.
During the period between 1980 and 1989, foraminotomy as described by Frykholm was performed on 230 patients suffering from lateral cervical disc herniation with exclusively radicular symptomatology. Following an average postoperative period of 3.5 years, the subjective alleviation of symptoms and the neurological symptomatology were examined in 161 patients. The mortality was nil; the morbidity was 5%, with a rapid full recovery in 4% of cases. In addition to the intra-operative findings of soft and hard disc lesions, a third group with combined findings was created. Excellent or good results were obtained in 98% of the patients with soft disc lesions, in 91% of the patients with combined findings, and in 84% of those with hard disc lesions. In 93% of the cases, there was a complete or marked improvement of paresis; in 82%, of the sensory deficits. A total of 92% of the patients were able to carry out their previous occupation to the full extent. The high efficacy of foraminotomy and the low incidence of complications described in previous studies was thereby confirmed.
在1980年至1989年期间，对230例仅表现为神经根症状的外侧颈椎间盘突出症患者实施了Frykholm所描述的椎间孔切开术。术后平均3.5年时，对161例患者的症状主观缓解情况及神经症状进行了检查。死亡率为零；发病率为5%，4%的病例迅速完全康复。除了术中发现的软性和硬性椎间盘病变外，还设立了一组合并病变的病例。软性椎间盘病变患者中98%、合并病变患者中91%以及硬性椎间盘病变患者中84%获得了优或良的结果。93%的病例中，麻痹完全或明显改善；82%的病例中，感觉障碍改善。总共92%的患者能够完全恢复之前的工作。由此证实了先前研究中所描述的椎间孔切开术的高效性及低并发症发生率。
