Solini A, Orsini G, Paschero B
Divisione di Ortopedia e Traumatologia, Ospedale Molinette, Torino.
Ital J Orthop Traumatol. 1988 Dec;14(4):443-54.
The authors report their first experience with 20 cases of lumbar herniated disc treated by percutaneous nuclectomy according to the Onik method. The methods used for a precise preliminary assessment of the prolapse in order to establish correct indications are discussed. The technique of the operation is then described. The simplicity and relative absence of trauma in this type of surgery, associated with the patient's rapid recovery, drastically reduces hospitalization time, with consequent social and economic advantages. The clinical results at follow-up are sufficiently rewarding to suggest a wider use of this method, but it is essential to restrict it to the indications laid down, which are fully illustrated. The method is applicable only to contained hernias and is contra-indicated in extruded hernias.
作者报告了他们首例采用奥尼克方法经皮髓核摘除术治疗20例腰椎间盘突出症的经验。讨论了用于精确初步评估脱垂情况以确定正确适应症的方法。随后描述了手术技术。这类手术的简单性和相对无创性，加上患者恢复迅速，大大缩短了住院时间，从而带来了社会和经济优势。随访时的临床结果相当令人满意，表明该方法可更广泛应用，但必须将其限制在所规定的适应症范围内，文中对此有充分说明。该方法仅适用于包容性疝，不适用于游离性疝。
