Schiltenwolf M, Kaps H P
Orthopädische Universitätsklinik Heidelberg.
Z Orthop Ihre Grenzgeb. 1994 Jul-Aug;132(4):316-21. doi: 10.1055/s-2008-1039981.
182 patients assessed their condition after automated percutaneous lumbar discectomy (APLD). The analysis of descriptive data parameters++ provides new guidelines for the indication of this minimally invasive procedure: persistent leg pain despite conservative treatment, lumbar disc prolapse in one segment, minimal monological pathology, This ideal constellation implies a restriction of the common guidelines. Under these premises 50% of the patients will be satisfied. So the indication for APLD seems to be justified under more unfavorable patient profiles if the natural course of sciatica was poor.
182例患者在接受自动经皮腰椎间盘切除术(APLD)后对自身病情进行了评估。描述性数据参数分析为这种微创手术的适应症提供了新的指导原则:尽管接受了保守治疗但仍存在持续性腿痛、单节段腰椎间盘突出、最小程度的单一病理改变。这种理想的情况意味着对通用指导原则的限制。在这些前提下,50%的患者会感到满意。因此,如果坐骨神经痛的自然病程较差,那么在患者情况更为不利的情况下,APLD的适应症似乎是合理的。