文档介绍：CT导引下经皮切割联合盘内注射胶原酶治疗腰椎间盘突出症
(作者:___________单位: ___________邮编: ___________)
作者:向昕平,胡梅芳,张勇刚,周义成
【摘要】目的评价经皮切割抽吸(PLD)L)治疗腰椎间盘突出症的价值。方法对78例腰椎间盘突出症患者行经皮切割抽吸术后再注射胶原酶于椎间盘内。结果 74例患者术后均获得满意效果,%,其中包括15例有部分髓核组织突入椎管的患者。结论 L联合治疗腰椎间盘突出症是一种微创、安全、有效的方法。
【关键词】经皮腰椎间盘切除术;化学溶核;椎间盘突出症
[Abstract] Objective To investigate the clinical effect of percutaneous lumbar diskectomy (PLD) combining with chemonucleolysis (CNL) by intranuclear injection of collagenase in the treatment of lumbar disc 78 patients with lumbar disc herniation were treated by bining procedures were performed with conventional ways,and following collagenase was injected into the lumbar Excellent e was achieved in 74 cases,clinical ess rate was %,it included 15 cases with nucleus pulposus intruding into vertebral bining L is more effective,safe and has less adverse shows to have wide clinical indications in
the treatment of lumbar disc herniation.
[Key words] percutaneous lumbar diskectomy;chemonucleolysis;lumbar disc herniation
经皮腰椎间盘切割术(percutaneous lumber diskectomy,PLD)和盘内注射胶原酶化学溶核术(L)在国内、外已广泛应用。PLD对于单纯包容性椎间盘突出症效果较好,对于病史较长,突出的髓核组织与神经根存在严重粘连或椎间盘突出程度较重,已有部分髓核组织脱入椎管的椎间盘突出症患者,单纯行PLD疗效不佳[1]。为了提高PLD疗效,L取得了满意疗效,现报告如下。
1 资料与方法
一般资料 78例患者,男41例,女37例,年龄24~61岁,平均45岁,其中单纯L4~5椎间盘突出症56例,包括44例包容性腰椎间盘突出症,12例髓核脱出型腰间盘突出症。单纯L5~S1椎间盘突出症16例,其中膨出型13例,髓核脱