Riegel B, Alibert F, Becq M C, Duckert I, Krivosic-Horber R
Département d'anesthésie-réanimation chirurgicale I Hospital B, Lille.
Agressologie. 1994;34 Spec No 1:33-7.
Lumbar disc hernia is a frequent pathology whose treatment remains essentially surgical. The type of anesthesia can be general anesthesia with intubation and controlled ventilation, both mandatory due to the position, peridural or spinal anesthesia. The usual position is knee-chest position which impairs circulation and ventilation if some precaution are not taken. Spinal anesthesia has been chosen in more than 40% of the patients by Lille CHU Team. This choice is justified by the important level of satisfaction of the patients and the absence of complications due to the anesthesia in a series of 1871 consecutive spinal anesthesia for lumbar disc surgery.
腰椎间盘突出症是一种常见的病症，其治疗主要仍以手术为主。麻醉方式可以是插管全身麻醉和控制通气，由于手术体位的原因，这两种方式都是必要的，也可以选择硬膜外麻醉或脊髓麻醉。通常采用膝胸位，如果不采取一些预防措施，该体位会影响循环和通气。里尔大学医学中心团队在超过40%的患者中选择了脊髓麻醉。在一系列1871例连续进行的腰椎间盘手术脊髓麻醉中，患者满意度高且无麻醉相关并发症，证明了这一选择的合理性。
