Treatment of Lumbar Disc Herniation with Reformed Percutaneous Lumbar Diskectomy (RPLD)
- VernacularTitle:改良式经皮腰椎间盘钳夹术治疗腰椎间盘突出症
- Author:
Zhijian YU
;
Xiaofeng HE
;
Yanhao LI
;
Chengjiang XIAO
;
Xianyue QUAN
- Publication Type:Journal Article
- Keywords:
spine;
percutaneous lumbar diskectomy;
lumbar disc herniation
- From:
Journal of Practical Radiology
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the curative effect and optimal indications of reformed percutaneous lumbar diskectomy (RPLD) for the treatment of lumbar disc herniation.Methods One handred and thirty-three patients with lumbar disc herniation were treated by RPLD, of them, 20 cases were lumbar disc extrusion and 113 cases were lumbar disc protrusion. After the procedure, 85 patients underwent flush of intervertebral space with antibiotic saline and 48 patients underwent 10 ml(40?g/ml) medical ozone-injection inside the disc to prevent infection. All patients were followed up over the course of 3 months. The therapeutic effect was evaluated according to the MacNab criteria. Results All 133 cases underwent RPLD were successful. The total efficacy was 81.9%, There were no serious complications after operations. Conclusion RPLD is an effective method in the treatment of lumbar disc herniation. Both intradiscal ozone-injection or intradiscal antibiotic saline flush after RPLD can reduce the opportunity of infection.
