Wiltse入路改良经椎间孔腰椎间融合术治疗复发性腰椎间盘突出症
Zhejiang Journal of Integrated Traditional Chinese and Western Medicine(2016)
Abstract
椎间盘切除术是治疗腰椎间盘突出症的主要手术方式之一,临床效果良好,但术后复发率为5%~20%[1-2]。腰椎间盘切除术后经6个月或更长时间无症状期或明显缓解期的同一椎间隙残余椎间盘再次突出并导致腰腿疼痛等症状者,称为复发性腰椎间盘突出症(rmtrrent lumbar disc herniation,RLDH)[3]。RLDH给患者造成巨大的痛苦和心理负担,选择最适宜治疗方案显得尤为重要。本研究采用Wiltse入路直视下改良经椎间孔腰椎间融合内固定术(TLIF)治疗复发性腰椎间盘突出症患者21例,操作简便,随访临床效果良好,现报道如下。
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