[1]张占录.腰椎间盘突出合并相应节段椎管狭窄症的微创手术治疗研究[J].医学信息,2019,32(04):174-176.[doi:10.3969/j.issn.1006-1959.2019.04.058]
　ZHANG Zhan-lu.Minimally Invasive Surgery for Lumbar Disc Herniation with Corresponding Segmental Spinal Stenosis[J].Journal of Medical Information,2019,32(04):174-176.[doi:10.3969/j.issn.1006-1959.2019.04.058]
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腰椎间盘突出合并相应节段椎管狭窄症的微创手术治疗研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年04期
页码:
174-176
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
Minimally Invasive Surgery for Lumbar Disc Herniation with Corresponding Segmental Spinal Stenosis
文章编号:
1006-1959（2019）04-0174-03
作者:
张占录
（北京麦瑞骨科医院骨科，北京 100012）
Author(s):
ZHANG Zhan-lu
(Department of Orthopaedics,Beijing Mairui Orthopaedics Hospital,Beijing 100012,China)
关键词:
腰椎间盘突出症; 腰椎椎管狭窄症; 椎管扩大减压术; 椎间孔镜技术
Keywords:
Lumbar disc herniation; Lumbar spinal stenosis; Extended decompression of spinal canal;  Intervertebral foramen technique
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2019.04.058
文献标志码:
A
摘要:
目的 探讨单节段腰椎间盘突出合并相应节段腰椎椎管狭窄症的最佳微创手术治疗方法。方法 选择我院2016年1月~2017年12月收治的单节段腰椎间盘突出合并相应节段腰椎椎管狭窄症60例患者，均采用经后路开窗半椎板部分切除椎管扩大减压+内镜下突出间盘摘除微创手术治疗，观察手术效果及术后并发症。结果 手术优良率为85.00%。CT或MRI影像学复查显示突出物消失，CT椎管前后直径≥16 mm，椎管容积扩大，无椎管改变患者，无感染及神经损伤患者。结论 经后路开窗半椎板部分切除椎管扩大减压加经内镜突出间盘摘除治疗单节段腰椎间盘突出合并相应节段腰椎椎管狭窄症微创手术临床效果较好，不影响脊柱稳定性、无需内固定、创伤小、并发症少。
Abstract:
Objective To investigate the best minimally invasive surgical treatment for single segment lumbar disc herniation with corresponding segmental lumbar spinal stenosis. Methods 60 patients with lumbar disc herniation and single-segment lumbar disc herniation admitted to our hospital from January 2016 to December 2017 were treated with posterior fenestration and partial laminectomy. Minimally invasive surgery was performed under pressure + endoscopy to observe the surgical results and postoperative complications. Results The excellent and good rate of surgery was 85.00%. CT or MRI imaging review showed that the protrusion disappeared, CT anterior-posterior diameter ≥16 mm, enlarged spinal canal volume, no spinal canal changes, no infection and nerve injury patients. Conclusion The minimally invasive surgery for lumbar spinal canal stenosis with partial posterior fenestration and partial resection of the vertebral canal and the removal of the endoscopic discectomy is effective. Spinal stability, no internal fixation, minimal trauma, and fewer complications.

参考文献/References:


[1]黄炎,孔雷,孔荣,等.经皮椎间孔镜技术在脊柱微创手术中应用的研究进展[J].中华解剖与临床杂志2015(5):469-473.
[2]李长青,周跃,王建,等.经皮椎间孔内窥镜下靶向穿刺椎间盘切除术治疗腰椎间盘突出症[J].中国脊柱脊髓杂志,2013,23(3):193-197.
[3]于峥嵘,李淳德,朱赛楠,等.经皮椎间孔入路内镜下神经根减压治疗腰椎管狭窄症的短期随访[J].北京大学学报(医学版),2017(2):74-77.
[4]韩广,汤锋武,张赛,等.经皮椎间孔镜技术治疗腰椎间盘突出症和腰椎间孔狭窄的并发症原因分析与处理[J].中国现代神经疾病杂志,2016,16(4):210-215.
[5]张勇,逯春洁,史福东,等.侧路椎间孔镜髓核摘除术与传统手术方法治疗腰椎间盘突出症的效果比较[J].现代中西医结合杂志,2016,25(1):87-89.

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更新日期/Last Update: 2019-03-07