Yeo S J, Tay B K
Department of Orthopaedic Surgery C, Singapore General Hospital.
Singapore Med J. 1993 Aug;34(4):313-5.
This study was performed to evaluate a group of patients undergoing automated percutaneous lumbar discectomy. All patients had disc pathology at L4/L5 and L5/S1 documented on CT scan and/or MRI. The range of follow-up was between 3 months and 20 months. The average hospital stay was 2 days (range 1-3 days). A total of 21 patients underwent the procedure and 18 were available for assessment. Of these, 12 patients improved. Of the patients that did not, two subsequently underwent surgical discectomy. There was one failed procedure but no other intra- or post-operative complications. The results of the study indicate that percutaneous discectomy has a demonstrable low morbidity and can be performed under local anaesthesia. However, proper patient selection is important for successful results.
本研究旨在评估一组接受自动经皮腰椎间盘切除术的患者。所有患者在CT扫描和/或MRI上均记录有L4/L5和L5/S1椎间盘病变。随访时间为3个月至20个月。平均住院时间为2天（范围1 - 3天）。共有21例患者接受了该手术，其中18例可供评估。在这些患者中，12例病情改善。未改善的患者中，有2例随后接受了手术椎间盘切除术。有1例手术失败，但无其他术中或术后并发症。研究结果表明，经皮椎间盘切除术具有明显的低发病率，并且可以在局部麻醉下进行。然而，正确选择患者对于取得成功结果很重要。
