MED术治疗青少年腰椎间盘突出症41例疗效分析
腰椎间盘镜下摘除术,,腰椎间盘镜下摘除术；腰椎间盘移位；治疗结果,1临床资料,2手术方法,3疗效判断标准,4结果,5讨论,【参考文献】
【摘要】 目的 探讨后路腰椎间盘内镜下摘除术(microendoscopic disectomy,MED)诊治青少年腰椎间盘突出症的方法和疗效。方法 回顾性分析2000~2005年我院治疗的43例青少年腰椎间盘突出症，其中保守治疗1例，1例改为开窗术治疗，椎间盘镜髓核摘除术41例。结果 随访全部病例，平均随访时间1.5~3.5年，优良率达95.1%。结论 外伤和椎间盘发育障碍是造成青少年腰椎间盘突出的主要原因；其临床特征是症状轻，体征明显；治疗上应选择创伤少、又能保持脊柱稳定性及缩短住院时间的方法，选择MED术治疗青少年腰椎间盘突出症是最适合患者的微创疗法之一。【关键词】 腰椎间盘镜下摘除术；腰椎间盘移位；治疗结果
Clinical analysis of treating adolescent lumbar disc herniation with microendoscopic discectemy(MED)via posterior lamina:experience with 41 cases
LIU Zhi-an,DENG Bin,GE Cai-hua,et al.Guangan Hospital of Orthopedics and Traumatology,Zhoushan 316102,China
【Abstract】 Objective To investigate the methods and experience of treating lumbar disc herniation in the adolescents.Methods 43 adolescent cases of lumbar disc herniaton were analyzed,among which one case was treated with conservative treatment,one case with other operation,41 cases with microendoscopic discectomy(MED).Results All cases were followed up 1.5 to 3.5 years in average.The satisfactory rate was about 95.1%.Conclusion Trauma and poor lumbar disc are the main cause of adolescent lumbar disc herniation.The clinical character is light symptoms and severe signs.Due to should keep their spine act normally after oparation,the suitable treatment for adolescent lumbar disc herniaton should be MED. ......
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