[1]周跃　 王卫东　 张峡　 初同伟　 王建　 李长青　 郑文杰.后路显微内镜下下腰段脊神经根鞘膜切开减压术的临床应用(附39例临床报道)[J].中国微创外科杂志,2004,04(4):309-311.
　Zhou Yue,Wang Weidong,ZhangXia,et al.Posterior approach low lumbar nerve root sheath decompression under microendoscope: Clinical report of 39 cases[J].Chinese Journal of Minimally Invasive Surgery,2004,04(4):309-311.
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后路显微内镜下下腰段脊神经根鞘膜切开减压术的临床应用(附39例临床报道)
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年4期
页码:
309-311
栏目:
出版日期:
2004-04-30

文章信息/Info

Title:
Posterior approach low lumbar nerve root sheath decompression under microendoscope: Clinical report of 39 cases
作者:
周跃　 王卫东　 张峡　 初同伟　 王建　 李长青　 郑文杰　
第三军医大学附属新桥医院骨科,重庆,400037
Author(s):
Zhou Yue;  Wang Weidong;  ZhangXia;  et al.
Department ofOrthopedics, Xinqiao Hospital ofThird Military Medical University, Chongqing400037, China
关键词:
脊神经根; 腰椎间盘; 内镜
Keywords:
Spinal nerve root; 　Lumbar disc; 　Microendoscope
分类号:
R681.5+;R745.4
文献标志码:
A
摘要:
目的探讨后路显微内镜下下腰段脊神经根鞘膜切开减压术的方法及临床效果. 方法选择39例下腰椎间盘突出症术前有严重肢端麻木和剧烈的根性疼痛,术中见神经根明显充血水肿,增粗粘连者.在行髓核切除的同时,采用自制内镜下脊神经根鞘膜切开减压微型手术刀,沿神经根背侧纵行切开3～5 mm. 结果内镜(MED-Ⅱ)下脊神经根鞘膜切开松解39例,17例手术24 h内肢端发麻和根性疼痛症状完全消失,余在术后2周内症状完全消失.该组症状完全消失时间1～14 d,平均6.5 d. 结论微创脊神经根鞘膜切开减压术能迅速缓解腰椎间盘突出症所致患肢肢端麻木和根性疼痛,加快神经功能恢复.内镜下(MED-Ⅱ)腰段脊神经根鞘膜切开减压术是临床上安全有效的方法.
Abstract:
Objective　To investigate the method and the effect of posterior approach low lumbar spinal nerve root sheath decompression under microendoscope (MED-Ⅱ).　Methods　Thirty-nine patients with low lumbar disc herniation, accompanying severe preoperative limb numbness and radiculalgia, whowere found obvious edema of nerve rootwith adhesion during surgery, entered the study. In the course of lumbar discectomy, a self-made mini-scalpel was used for the incision and decompression of the nerve root sheath, in which a 3 ~ 5 mm longitudinal incision was made along the dorsal side of the nerve root.　Results　Decompression was achieved under microendoscope (MED-Ⅱ) in all the 39 patients. Limb numbness and radiculalgia subsided completely in 17 patientswithin 24 postoperative hours, while the symptoms trailed offwithin 2 weeks following the surgery in the remaining patients. The time to complete disappearance of the symptoms was 1~14 d (mean, 6·5 d).　Conclusions　Minimally invasive spinal nerve root sheath incision and decompression can give a prompt relief from limb numbness and radiculalgia, improving the recovery of nervous system. Lumbar spinal nerve root sheath incision and decompression under microendoscope (MED-Ⅱ) is a safe and effective procedure.

参考文献/References:

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更新日期/Last Update: 2014-06-09