Mostofi Keyvan, Khouzani Reza Karimi
Department of Neurosurgery, Centre Clinical de Soyaux, Chemin de Fregeneuil, 16800 Soyaux, France.
Rottal Inn Kliniken, Department of Neurosurgery, Bavaria, Germany.
J Clin Orthop Trauma. 2018 Mar;9(Suppl 1):S149-S151. doi: 10.1016/j.jcot.2017.10.006. Epub 2017 Oct 12.
The incidence of Disc herniation is about 2-3% of population. Each year 300,000 procedures performed in USA. The aim of this paper is to describe the utility of endoscopic procedure in treatment of lumbar disc herniation.
We operated 359 patients from September 2013 to December 2016 for lumbar disk herniation by Endoscopic DESTANDAU method (EDM). The average length of surgery was 47 min. We operated 211 male and 148 female patients. In average, patients had pain for 4.3 months before surgery.
310 patients became pain free in six weeks and 332 after 3 months. We had 7 recurrent herniation. Among these patients 4 have been operated for the second time with success. Three patients refused to be operated. And had infiltration. We had 1 deep infection and 3 cutaneous infections. We have 7 two SCF fluid leak. Among them 3 needed second operation.
The patients are admitted the day of surgery and are discharged the day after surgery. EDM is a good alternative surgery for lumbar disk herniation in comparison with classical surgery. The duration of hospitalization is shorter and recovery is faster.
椎间盘突出症的发病率约占总人口的2%-3%。在美国，每年进行30万例相关手术。本文旨在描述内镜手术在治疗腰椎间盘突出症中的应用。
2013年9月至2016年12月，我们采用内镜DESTANDAU方法（EDM）为359例腰椎间盘突出症患者进行了手术。平均手术时长为47分钟。其中男性患者211例，女性患者148例。患者术前平均疼痛时间为4.3个月。
310例患者在六周后疼痛消失，332例在三个月后疼痛消失。我们有7例复发性疝。其中4例患者接受了二次手术且成功。3例患者拒绝手术，进行了浸润治疗。我们有1例深部感染和3例皮肤感染。我们有7例出现脑脊液漏，其中3例需要二次手术。
患者在手术当天入院，术后第二天出院。与传统手术相比，EDM是治疗腰椎间盘突出症的一种很好的替代手术。住院时间更短，恢复更快。
