微创内窥镜下经不同入路治疗重度脱出移位腰椎间盘突出
症
蒋毅;左如俊;吴磊;黄承;石岩;宋华伟;王艺伟;李斌
【期刊名称】《中国骨伤》 【年(卷),期】2017(030)002
【摘要】Objective:To analyze the clinical effects of percutaneous endoscopic technique via three different approaches for highly migrated lumbar disc herniation. Methods:The clinical data of 68 patients underwent percutaneous endoscopic tech-nique from June 2011 to June 2014 were retrospectively analyzed. There were 43 males and 25 females ,aged from 11 to 77 years old with an average of (42.29 ±15.92) years. The patients were divided into three groups according to different
operative
ap-proaches,of
them,45
cases
were
by
transforaminal approach (group A),15 cases by translaminar approach (group B),and 8 cases by transpedicular approach (group C). There was 1 case in level L2,3,12 cases in L3,4,36 cases in L4,5,19 cases in L5S1. The herniated disc was migrated superiorly in 23 patients ,inferiorly in 45 patients. MRI were available to confirm migrated disc pre and post operatively. Operation time,loss blood volume,intraoperative and postoperative complications,time of back to work (postoperative recovery time ) were recorded. Preoperative and postoperative VAS were used to evaluate low back pain and sciat-ica and JOA and MacNab
微创内窥镜下经不同入路治疗重度脱出移位腰椎间盘突出症
