Iwa H, Caspar W
No Shinkei Geka. 1978 Jul;6(7):657-62.
An application of operating microscope for lumbar disc herniation surgery may reduce surgical trauma as compared to non-microsurgical procedure. This can be done very easily by monosegmental approach and employing of the improved optical conditions. This procedure implies better differentiation of anatomical structures and therefore also gentler manipulation of nerve root and dural sac. This procedure can be led to (1) much less bleeding, (2) much less (little) damage of muscle and nerve, (3) less local complication due to postoperative muscular insufficiency, (4) short period of the hospitalization and (5) easiler having postoperative rehabilitation.
与非显微外科手术相比，手术显微镜在腰椎间盘突出症手术中的应用可减少手术创伤。通过单节段入路和改善光学条件可以很容易地做到这一点。该手术意味着更好地辨别解剖结构，因此对神经根和硬脊膜囊的操作也更轻柔。该手术可带来：（1）出血少得多；（2）肌肉和神经损伤少得多（几乎没有）；（3）因术后肌肉功能不全导致的局部并发症少；（4）住院时间短；（5）术后康复更容易。
