医学信息2019，Vol.32Issue(4)：174-176,3.DOI:10.3969/j.issn.1006-1959.2019.04.058
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
Minimally Invasive Surgery for Lumbar Disc Herniation with Corresponding Segmental Spinal Stenosis
张占录1
作者信息
- 1. 北京麦瑞骨科医院骨科,北京 100012
- 折叠
摘要
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.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Key words
Lumbar disc herniation/Lumbar spinal stenosis/Extended decompression of spinal canal/Intervertebral foramen technique分类
医药卫生引用本文复制引用
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(4):174-176,3.
