CAJ | 학술논문

目的探讨后路显微内窥镜腰椎间盘切除术(MED)结合等离子刀手术系统微创治疗钙化型腰椎间盘突出症的可行性及疗效.方法随机选择行MED下髓核摘除的钙化型腰椎间盘突出症患者35例,同时应用等离子刀对椎管内残余组织进行消融、皱缩,成形,术后随访,第12个月进行疗效评价.结果 35例患者均顺利完成此手术,Nakai治愈标准评估治疗效果,优良率为94.3％.结论显微椎间盘镜结合等离子刀治疗钙化型腰椎间盘突出症,扩大了MED适应证范围,提高了椎间盘镜下髓核摘除术的临床疗效.
목적 탐토후로현미내규경요추간반절제술(MED)결합등리자도수술계통미창치료개화형요추간반돌출증적가행성급료효.방법 수궤선택행MED하수핵적제적개화형요추간반돌출증환자35례,동시응용등리자도대추관내잔여조직진행소융、추축,성형,술후수방,제12개월진행료효평개.결과 35례환자균순리완성차수술,Nakai치유표준평고치료효과,우량솔위94.3％.결론 현미추간반경결합등리자도치료개화형요추간반돌출증,확대료MED괄응증범위,제고료추간반경하수핵적제술적림상료효.
Objective To investigate the feasibility and effect of radiofrequency coblation nucleoplasty combined with microendoscopic discectomy (MED) on calcified lumbar disc herniation.Methods A total of 35 patients with calcified lumbar disc herniation were choosed in the study.All patients were treated with microendoscopic discectomy.After general MED surgery,the remnant tissues were treated with radiofrequency coblation nucleoplasty.A follow-up was carried out for 12 months,and the effect of the surgery was evaluated.Results The operation was completed smoothly in all of the 35 patients.The excellent and good rate was 94.3％,according to Nakai classification.Conclusions MED combined with radiofrequency coblation nucleoplasty for treatment of the calcified lumbar disc herniation can expand the clinical indication of MED,as well as improve the clinical efficacy of MED.