Kambin P, Cohen L F
Division of Spine Surgery, Graduate Hospital, University of Pennsylvania School of Medicine, Philadelphia.
Clin Sports Med. 1993 Jul;12(3):587-98.
Arthroscopic microdiscectomy represents an alternative method of treatment for herniated lumbar disc and its associated radiculopathy. In contrast to nucleotomy procedures that allow for only central evacuation of the nuclear mass, in arthroscopic microdiscectomy, the emphasis is placed on evacuation of the posterior collagenized fragments, which are responsible for mechanical compression of the nerve roots. Over a period of 10 years, 250 patients with unremitting sciatica due to herniated nucleus pulposus have been treated at the Graduate Hospital through a posterolateral approach via a 6.5-mm cannula. Our overall successful results have been 87.5%, and we have not encountered any neurovascular or other serious complications.
关节镜下显微椎间盘切除术是治疗腰椎间盘突出症及其相关神经根病的一种替代方法。与仅能对髓核进行中央减压的髓核摘除术不同，关节镜下显微椎间盘切除术的重点在于清除后方纤维化碎片，这些碎片是导致神经根机械性受压的原因。在10年的时间里，研究生医院通过后外侧入路，使用6.5毫米套管针，对250例因髓核突出导致顽固性坐骨神经痛的患者进行了治疗。我们的总体成功率为87.5%，且未遇到任何神经血管或其他严重并发症。
