微创内窥镜手术与开放性手术治疗极外侧型腰椎间盘突出症的比较研究

• 作 者: 王建 周跃 初同伟
• 机 构: 第三军医大学附属新桥医院骨科,重庆,400037
• 出 处: 2007SICOT国际矫形外科学术会议(SICOT-SIROT SHANGHAI CONGRESS 2007)
• 发表日期: 2007年1期

　　Objective:To complete the comparison between microendoscopic surgery and open surgery for far lateral lumbar disc herniation,and to assess the clinical value of microendoscopic surgery.Methods:In a retrospective study,16 patients suffering from far lateral lumbar disc herniation were treated with microendoscopic surgery,and a second group of 20 patients treated with open surgery was used for comparison.Mean age at microendoscopic surgery group was 42.6 years (range,35~60),45.5 years (range,23~78) at open surgery group.The microendoscopic surgery was performed via vertebral lamina gap approach,zygapophysis approach and intertransverse processes approach respectively.Thorough root exploration,direct decompression and removal of disc material were performed by endoscope.The open surgery was completed via vertebral lamina gap approach and intertransverse processes approach.