肖承江 郑丽吟 李健 (肖承江、郑丽吟)510317 广州，解放军第一七七医院放射科；(李健)广州市第二人民医院骨科 中华放射学杂志 1999 0 33 7


    关键词：椎间盘移位；放射学；介入性；椎间盘切除术；经皮；颈椎 期刊 zhfsxzz 0 骨骼肌肉系统放射学 fur -->


    

【摘要】 目的 探索经皮穿刺颈椎间盘切割抽吸术(PCD)的疗效及安全性。 方法 对101例经临床和MRI确诊为椎间盘突出症病人施行PCD，观察术后并发症、临床症状缓解程度和突出髓核还纳程度、椎体的稳定性。结果 PCD术后6个月及1、2、3、4年优良率分别是83.2%，86.1%，86.0%，85.7%，66.7%。36例合并轻度失稳者随访3个月至1.5年无一例失稳加剧。并发椎间盘炎1例，穿刺点小血肿3例，脊髓一过性挤压伤1例,经及时处理，均无后遗症。结论 PCD术治疗颈椎间盘突出症优良率高、安全、不损害椎体稳定性。

Percutanous cervical discectomy for treatment of cervical disc herniation ( analysis of 101 cases)

    

    XIAO Chengjiang, ZHENG Liyin, LI Jian.

    Department of Radiology,The 177 Hospital of PLA, Guangzhou 510317

【Abstract】 Objective To explore effectiveness and safety of percutaneous cervical discectomy(PCD)for treatment of cervical disc herniation. Methods 101 patients with cervical disc herniation underwent PCD procedure and followed up for a period from 6 months to 4 years. 25 patients were re-examined by CT or MRI and 36 patients with minor unstable cervical spine were observed by X-ray plain film in 6 to 13 months postoperatively. Results The rate of excellent and good results of 101 patients were 83.2%, 86.1%, 86%, 85.7%, 66.7% for follow up periods of 6 months, 1,2,3,4 years respectively. No deterioration of cervical spinal stability was discovered after the procedure. There were 1 cases of discinflamation, 3 case of hematoma at the puncture site and 1 case of transient squeezing injury of spinal cord. Conclusions PCD is a safe and effective procedure for treating cervical disc herniation without compromising spinal stability.

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