CAJ | 학술논문

目的评价经皮穿刺颈椎间盘摘除术(percutaneous cervical discectomy,PCD)的临床应用疗效及价值.方法应用PCD技术对21例临床确诊颈椎间盘突出症患者的25个间盘,在C型臂下准确定位,局麻后行小切口约0.3cm路径穿刺,正侧无误,冲击扩张后置工作套管,再用髓核钳反复夹取突出髓核组织,残留部分用切割器切吸.结果21例患者均获得随访,平均10个月(1-18月).疗效评估结果,优11例(52.3%),良5例(23.8%),可4例(19.1%),差1例(4.8%).总有效率95.2%,优良率76.1%.结论经皮穿刺颈椎间盘摘除术能准确有效解除颈椎间盘突出症的症状和体征,具有创伤小,恢复快,并发症少,疗程短等特点.
목적 평개경피천자경추간반적제술(percutaneous cervical discectomy,PCD)적림상응용료효급개치.방법응용PCD기술대21례림상학진경추간반돌출증환자적25개간반,재C형비하준학정위,국마후행소절구약0.3cm로경천자,정측무오,충격확장후치공작투관,재용수핵겸반복협취돌출수핵조직,잔류부분용절할기절흡.결과21례환자균획득수방,평균10개월(1-18월).료효평고결과,우11례(52.3%),량5례(23.8%),가4례(19.1%),차1례(4.8%).총유효솔95.2%,우량솔76.1%.결론경피천자경추간반적제술능준학유효해제경추간반돌출증적증상화체정,구유창상소,회복쾌,병발증소,료정단등특점.
Objective To evaluate the curative effect and value of percussion cervical discectomy(PCD).Methods By PCD technology, we treat 25 discs in 21 cases of cervical disc disease. Under the C-arm positioning accuracy,we take small incision about 0.3cm after local anesthesia,insert the rear casing after impacting and expanding, and then repeatedly clamp folder nucleus from prominent organizations,Some residual truncated by cutter.Results 21 patients were followed up on the average of 10 months(1 ～ 18months).The result indicated that the case of superior efficacy were 11(52.3％),good efficacy were 5(23.8％),general efficacy were 4(19. 1 ％) and bad efficacy were 1 (4.8％).The effective rate was 95.2％ and the good rate was 76.1％.Conclusions Percussion cervical discectomy can accurately and efficiently relieve the symptom and sign of cervical disc disease,with trauma and rapid recovery,less complication,and shorter course of treatment.