CAJ | 학술논문

目的探讨改良式经皮穿刺髓核钳夹术治疗腰椎间盘突出症的临床疗效及相关因素.方法在C臂X线机双向定位下,经皮穿刺靶椎间盘的后1/3处,逐级扩张穿刺通道置入工作套管,采用手动髓核钳由浅入深,多方位夹取髓核,直到无髓核组织钳出时,终止手术.结果42例患者共接受74个椎间盘改良式钳夹手术,穿刺成功率为100%,临床总有效率为97.6%,无效率为2.4%,无并发症发生.结论改良式经皮髓核钳夹术治疗腰椎间盘突出症临床疗效显著、适应证宽,是简便易行、安全实用的有效治疗方法,值得推广.
목적탐토개량식경피천자수핵겸협술치료요추간반돌출증적림상료효급상관인소.방법재C비X선궤쌍향정위하,경피천자파추간반적후1/3처,축급확장천자통도치입공작투관,채용수동수핵겸유천입심,다방위협취수핵,직도무수핵조직겸출시,종지수술.결과42례환자공접수74개추간반개량식겸협수술,천자성공솔위100%,림상총유효솔위97.6%,무효솔위2.4%,무병발증발생.결론개량식경피수핵겸협술치료요추간반돌출증림상료효현저、괄응증관,시간편역행、안전실용적유효치료방법,치득추엄.
Objective:To evaluate the clinical curative effect and related factors on the ameliorative percutaneous nucleus pulposus clamp.Methods:According to two-way fluoroscopy and orientation of the C-Arm X-Ray machine,percutaneous punctured the posterior 1/3 of the pathological lumbar disc.Progressively dilated the passage of the puncture and put tbe job casing in lumbar disc.Took the advantage of manual control nucleus pulposus clamp gradually clamped neucleus pulposus tissue until no more could be got.Results:42 patients have received this procedure 74 times totally,the successful rate reachs 100%,the clinical total effective rates is 97.6% ,the null rates is 2.4%,without complications.Conclusions:Ameliorative percutaneous nucleus pulposus clamp is an effective procedure for lumbar disc herniation,which is simple,safe,inexpensive,reliable and effective.It is worth to spread in clinical treatment.