《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (12): 1041-1041.

• 临床观察 • 上一篇    下一篇

自制神经根拉钩在腰椎间盘突出症手术治疗中应用116例

吴国平1; 张庆民2; 张振家3   

  1. 1.北京京煤集团总医院骨科 北京市 102300;2.首都医科大学康复医学院 北京市 100068;3.华北石油管理局总医院 河北任丘市 062552
  • 收稿日期:2005-10-08 出版日期:2005-12-25 发布日期:2005-12-25

Application of nerve root retractor in lumbar disc surgery: 116 cases report

WU Guo-ping, ZHANG Qing-min, ZHANG Zhen-jia   

  1. The Department of Orthopaedic, Beijing Mining General Hospital, Beijing 102300, China
  • Received:2005-10-08 Published:2005-12-25 Online:2005-12-25

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摘要： 目的观察自制神经根拉钩在腰椎间盘突出症手术中的应用价值。方法对在小切口椎板开窗腰椎间盘摘除术中使用自制拉钩的116例(单节段侧旁型)患者进行回顾性分析。结果术中出血50～200ml,平均约120ml;手术时间30～90min,平均50min。术后随访3～18个月(平均5.8个月),腰腿痛症状完全消失96例、轻度腰痛伴下肢麻木3例、仅有轻度腰痛8例、遗留轻度下肢麻木9例。结论应用自制神经根拉钩能使椎间盘显露更加充分并有效止血,避免神经损伤,提高手术质量。

关键词: 腰椎间盘摘除术, 神经根拉钩, 并发症

Abstract: ObjectiveTo investigate the applying value of nerve root retractor in lumbar intervertebral disc operation.Methods116 consecutive patients underwent lumbar discectomy performed with a new approach using a series of semi-tubular retractor with consecutively increasing diameters, and their clinical data was analyzed retrospectively.ResultsThe mean operative time was 30～90 min per level, average 50 minutes and estimated blood loss was 50～200 ml per level, average 120 ml, no complications occurred. All patients were followed up 3 to 18 months after operation. All patients had substantial relief of their lumbago and radiculopathy, in which 96 without any symptoms, 3 cases with gently lumbago and limb numbness, 8 cases with gently lumbago, and 9 cases with lightly limb numbness.ConclusionThe nerve root retractor for lumbar discectomy made specially by ourselves can facilitate a good exposure to lumbar disc and intervertebral space, prevent injury of nerve roots or cauda equina and decrease volume of bleeding during operation, so as to make the procedure safe and effective.

Key words: lumbar discectomy, nerve root retractor, complication