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[自动经皮髓核摘除术:关于椎间盘突出形态学特征的临床结果分析]

[Automated percutaneous nucleotomy: an analysis of the clinical results in relation to the morphological characteristics of the intervertebral disk hernia].

作者信息

Pitto R P

机构信息

I Clinica Ortopedica dell'Università di Firenze.

出版信息

Arch Putti Chir Organi Mov. 1990;38(2):327-37.

PMID:2101240
Abstract

Thirty-five patients, selected according to the criteria of Onik and operated on by automated percutaneous lumbar discectomy, were evaluated in a retrospective study in order to assess correlation between clinical results and characteristics of the disc herniation and the value of current imaging techniques in selecting patients for percutaneous discectomy. Percutaneous discectomy is not indicated for narrow, postero-lateral herniated discs (3 cases, 3 failures). Two-thirds of the failures are consequences of inaccurate CAT scan images (false-negative images of subligamentous migration of the herniated disc).

摘要

根据奥尼克标准选择35例患者,采用自动经皮腰椎间盘切除术进行手术,在一项回顾性研究中对其进行评估,以评估临床结果与椎间盘突出特征之间的相关性,以及当前成像技术在选择经皮椎间盘切除术患者中的价值。经皮椎间盘切除术不适用于狭窄的后外侧椎间盘突出(3例,3次失败)。三分之二的失败是计算机断层扫描(CAT)图像不准确的结果(椎间盘韧带下移位的假阴性图像)。

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