椎问盘镜下髓核摘除术和经皮椎间盘切吸术治疗单节段中央型椎问盘突出症的远期疗效比较

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目的:比较椎间盘镜下髓核摘除术(MED)与经皮椎『日J盘切吸术(PLD)治疗中央腰椎盘突出症的适应证、远期疗效及并发症,探讨两种术式的临床应用优势.方法:回顾性分析2000 1至2002年3月行手术治疗的单节段中央型腰椎间盘突出症患者,其中麻用MED治疗23例,应用PLD治疗40例,分别比较两组手术适应证范围,病变节段,手术时『日J和出血,术后卧床时1日J,术后件院时间,Oswestry功能障碍指数(oswestry disability index,ODI)及MacNab评分.用配刈t检验K检验及Fisher精确概率法等方法进行统计学分析.
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目的:总结经皮内窥镜下腰椎间盘切除术(PELD)治疗腰椎间盘突出症的手术并发症,并探讨其防治策略.方法:2005年5月~2011年12月采用PELD共治疗腰椎间盘突出症患者893例(YESS技术234例,TESSYS技术659例),男524例,女369例;年龄14~83岁,平均44.3岁.46例为复发性腰椎间盘突出症.患者均存在明显腰腿痛,并经CT及MRI检查证实为腰椎间盘突出或术后复发.无椎间盘
目的:通过比较显微内镜椎间盘切除术(MED)与传统椎间盘切除术治疗后,患者的肌酸磷酸激酶(CPK)、多裂肌横断面面积(CSA)以及视觉模拟评分量表(VAS)的变化,探讨MED与传统术武对肌肉损伤的影响.方法:选择我院收治的腰椎间盘突出致坐骨神经痛患者200例,随机分为MED组与传统组各100例,采用VAS测量腰背痛的严重程度,CPK量化肌肉损伤,CSA量化多裂肌萎缩程度.
目的:探讨采用微创手术、常规开放手术和脊柱融合术三种不同方法治疗腰椎间盘突出症的临床疗效.方法:回顾性分析2007年11月~2009年5月临床诊断并行手术治疗腰椎间盘突出症共144例,其中男性81例,女性63例;平均年龄47岁(22-53岁),病程平均7.3个月(5周一11年).病例均为单节段:L3、 椎间盘9例,L4椎问盘69例,LS.椎间盘66例.治疗分为三组,A组微创手术组:使用椎间盘镜(M