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[低剂量木瓜凝乳蛋白酶经皮腰椎髓核摘除术,一种门诊手术]

[Percutaneous lumbar nucleotomy with low-dose chymopapain, an ambulatory procedure].

作者信息

Hoogland T, Scheckenbach C

机构信息

Ambulatorium für Wirbelsäulenchirurgie, München.

出版信息

Z Orthop Ihre Grenzgeb. 1995 Mar-Apr;133(2):106-13. doi: 10.1055/s-2008-1039420.

DOI:10.1055/s-2008-1039420
PMID:7754655
Abstract

100 patients, who underwent an automated percutaneous lumbar discectomy with low-dose chemonucleolysis, were controlled in this follow-up study after a minimum period of 2 years. They showed excellent or good results in 90% and fair in 8% of the cases. 2% of the patients showed unchanged symptoms. In 9% of the cases a microdiscectomy was necessary to reach this result. No severe intra- or postoperative complications like a postnucleotomy-syndrome were seen. A significant improvement was reached in radicular symptoms and back pain.

摘要

在这项随访研究中,对100例行低剂量化学髓核溶解术自动经皮腰椎间盘切除术的患者进行了至少2年的随访。结果显示,90%的患者效果极佳或良好,8%的患者效果尚可,2%的患者症状无变化。为达到这一结果,9%的病例需要进行显微椎间盘切除术。未观察到严重的术中或术后并发症,如髓核切除术后综合征。神经根症状和背痛有显著改善。

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1
[Percutaneous lumbar nucleotomy with low-dose chymopapain, an ambulatory procedure].[低剂量木瓜凝乳蛋白酶经皮腰椎髓核摘除术,一种门诊手术]
Z Orthop Ihre Grenzgeb. 1995 Mar-Apr;133(2):106-13. doi: 10.1055/s-2008-1039420.
2
Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases.经椎间孔后外侧内镜下椎间盘切除术联合或不联合低剂量木瓜凝乳蛋白酶:280例连续病例的前瞻性随机研究
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[Comparison of percutaneous manual and endoscopic laser diskectomy with chemonucleolysis and automated nucleotomy].
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Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases.内镜下经椎间孔椎间盘切除术治疗复发性腰椎间盘突出症:262例连续病例的前瞻性队列评估
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[Evaluating performance in lumbar intervertebral disk damage following chemonucleolysis].[评估化学髓核溶解术后腰椎间盘损伤的疗效]
Neurochirurgia (Stuttg). 1990 Sep;33(5):162-8. doi: 10.1055/s-2008-1053576.
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Microinvasive lumbar disc surgery. A study on patients treated with microdiscectomy or percutaneous nucleotomy for disc herniation.微创腰椎间盘手术。一项关于采用显微椎间盘切除术或经皮髓核摘除术治疗椎间盘突出症患者的研究。
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[Long-term results of chymopapain chemonucleolysis].
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Chymopapain chemonucleolysis: a review of 105 cases.
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Posterolateral transforaminal selective endoscopic discectomy and thermal annuloplasty for chronic lumbar discogenic pain: a minimal access visualized intradiscal surgical procedure.后外侧经椎间孔选择性内镜下椎间盘切除术及热凝纤维环成形术治疗慢性腰椎间盘源性疼痛:一种微创可视化椎间盘内手术操作
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[Chemonucleolysis with chymopapain in lumbar disk hernia. Randomized comparative study with operated patients].
Neurochirurgia (Stuttg). 1990 Sep;33(5):169-72. doi: 10.1055/s-2008-1053577.

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