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腰椎关节镜下显微椎间盘切除术

Arthroscopic microdiscectomy of the lumbar spine.

作者信息

Kambin P

机构信息

Graduate Hospital Disc Treatment and Research Center, Philadelphia, Pennsylvania.

出版信息

Clin Sports Med. 1993 Jan;12(1):143-50.

PMID:8418975
Abstract

Disc herniation in athletes is uncommon; however, it requires prompt diagnosis and treatment. Arthroscopic microdiscectomy is associated with minimal postoperative morbidity and it is particularly suitable for the surgical treatment of unremitting radiculopathy associated with herniated lumbar disc in athletes. The addition of the arthroscope and the deflecting instruments allows for visualization, identification, and extraction of posterior and posterolateral collagenized nuclear fragments that are believed to be the common cause of nerve root compression and sciatica following disc herniation.

摘要

运动员椎间盘突出并不常见;然而,它需要及时诊断和治疗。关节镜下显微椎间盘切除术术后发病率极低,特别适合于手术治疗运动员腰椎间盘突出伴发的顽固性神经根病。关节镜和可弯曲器械的应用能够可视化、识别并取出后和后外侧胶原化的核碎片,这些碎片被认为是椎间盘突出后神经根受压和坐骨神经痛的常见原因。

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