不同手术入路治疗极外型腰椎间盘突出症

Treatment of extreme lumbar disc herniation by various operative approachs

中文关键词:  腰椎,椎间孔,腰椎间盘突出,手术入路

英文关键词:Lunbar\ Foramen\ Lumbar disc hernition\ Operated approach

中文摘要:

  目的：探讨极外型腰椎间盘突出症的不同手术入路的适应证及优缺点。方法：突出位于椎间孔内的３例采用椎管内入路，其中２例保留关节突，１例切除椎弓峡部及上下关节突。突出位于椎间孔外的３例采用椎旁肌间隙入路。结果：６例均得到随访，其中优５例，良１例，效果满意。结论：位于椎间孔内突出和合并后外侧突出或椎管狭窄的椎间孔内突出应选择椎管内手术入路。向上移位的椎间孔内突出和位于出口区及椎间孔外突出应选择椎旁椎板侧方入路或椎旁肌间隙入路。椎旁肌间隙入路避免了椎板侧方入路骶棘肌过多剥离的缺点，值得推荐。

英文摘要:

  Objective:To probe into the indication,advantage and shortcoming of different operative methods of extreme lateral lumbar disc herniation.Method:The intraspinal canal approach was utilized in 3 cases,the paraspinal approach between multifidus