[1]李明　 陈强　 何大为　 朱晓东　 郑召民①　 侯铁胜.显微内镜治疗腰椎间盘突出症[J].中国微创外科杂志,2002,02(4):203-204.
　Li Ming,Chen Qiang,He Dawei,et al.A Study on microendoscopic discectomy system in the treatment to lumbar disc herniation[J].Chinese Journal of Minimally Invasive Surgery,2002,02(4):203-204.
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显微内镜治疗腰椎间盘突出症()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
02
期数:
2002年4期
页码:
203-204
栏目:
出版日期:
2002-08-31

文章信息/Info

Title:
A Study on microendoscopic discectomy system in the treatment to lumbar disc herniation
作者:
李明　 陈强　 何大为　 朱晓东　 郑召民①　 侯铁胜
第二军医大学长海医院骨科,上海,200433
Author(s):
Li Ming; Chen Qiang; He Dawei; et al.
Department ofOrthopedics,ChanghaiHospital,SecondMilitaryMedical University,Shang- hai200433,China
关键词:
椎间盘移位 椎间盘切除术 内窥镜检查
Keywords:
intervertebral disk displacement　discectomy　endoscopy
分类号:
R681.5+3
文献标志码:
A
摘要:
目的探讨第二代椎间盘镜手术系统治疗腰椎间盘突出症的效果. 方法 2000年5月至2001年10月采用显微内镜髓核摘除术共治疗85例、98个间隙腰椎间盘突出症,单间隙突出者72例,双间隙突出者13例,合并侧隐窝狭窄者15例. 结果所有病例均获得(6～20)个月随访,平均14个月.优良率92.9%(79/85).随访期间无患者出现腰椎不稳.患者术后第3天即可下床活动,切口仅长1.6cm,行皮内缝合,不需拆线.本组患者均在术后(3～5)天出院. 结论显微内镜治疗腰椎间盘突出症近期疗效满意,选择合适的病例和仔细的操作是手术成功的关键.
Abstract:
Objective　To evaluate the second generation micro-endoscopic discectomy (MED) system in the treatment of lumbar disc herniation.　Methods　Eighty-five patients with single or double level lumbar disc herniation were treatedwithMED under epidural anesthesia fromMay 2000 toOctober2001.Single disc herniationwas in 72 cases, double disc herniation in 13 cases; lateral recess stenosis in 15 cases.　Results　The average following -up period was 14 months and the successful therapeutic results achieved 92·9%(79/85). the patientswere allowed to walk 3 d and discharged 3~5 d after operation. The length of incision was only 1.6 cm.　Conclusions　MED has short-term satisfactory therapeutic efficacy in the treatment of lumbar disc herniation. The suitable indication and precise technique are the key for the operation.

参考文献/References:

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备注/Memo

备注/Memo:
①（中山医科大学孙逸仙纪念医院骨科医学部,广州,510120）
更新日期/Last Update: 2014-07-31