经皮内窥镜下射频消融术治疗腰椎间盘突出症

Percutaneous endoscopic intervertebral disk ablation for the treatment of lumbar intervertebral disk herniation

中文关键词:  椎间盘突出症,经皮,内窥镜,射频技术

英文关键词:Interventebral disk displacement,Percutaneous,Endoscopic,Ablat

中文摘要:

  目的:探讨经皮内窥镜下射频消融术治疗腰椎间盘突出症的安全性和疗效。方法:58例确诊为单纯性腰椎间盘突出症患者(其中L4/5突出44例,L5/S1突出13例,L3/4突出1例),在C型臂X光机透视监视下,采用经皮穿刺技术将同轴椎间盘内窥镜置入椎间盘内,摘除部分髓核后,在直视下采用ELLMAN射频机的双极可弯曲电极行髓核组织消融,完全去除镜下所见髓核组织。结果:采用MacNab标准评定,58例患者随访1~8个月,显效36例(62%),有效16例(28%),无效6例(10%),有效率为90%。所有病例均无严重并发症发生。结论:经皮内窥镜下射频消融术治疗单纯性腰椎间盘突出症安全、有效。

英文摘要:

  Objective:To evaluate the effectivenes and safety of percutaneous endoscopic intervertebral disk ablation for the treatment of lumbar intervertebral disk herniation.Method:58 patients who suffered form simple lumbar intervertebral disk herniations were co