首都医科大学学报 ›› 1998, Vol. 19 ›› Issue (2): 144-146.

• 论著 • 上一篇    下一篇

经皮颈椎间盘切除术25例临床观察

陈兵, 雍宜民, 张常在   

  1. 首都医科大学宣武医院骨科
  • 收稿日期:1997-08-22 修回日期:1900-01-01 出版日期:1998-04-15 发布日期:1998-04-15

Percutaneous Cervical Discectomy Report of Twenty-five Cases

Chen Bing, Yong Yimin, Zhang Changzai   

  1. Department of Orthopaedic Surgery, Xuanwu Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1997-08-22 Revised:1900-01-01 Online:1998-04-15 Published:1998-04-15

摘要: 对25例(29个节段)颈椎病及颈椎间盘突出症患者行经皮颈椎间盘切除术(PCD).结果:优12例,良10例,有效2例,总有效率96%,优良率88%.提示:PCD可作为颈椎间盘突出症和颈椎病早期治疗的一种有效手段.

关键词: 颈椎病, 颈间盘突出, 经皮

Abstract: Twenty-five patients were treated by percutaneous cervical discectomy(PCD)for herniated disc and cervical spondylosis. The follow up period was from half a year to five years with an average of three years.Three cases were herniation of cervical intervertebral disc and the other twenty two cases were cervical spondylosis. Among them one case suffered from symptoms of compression of spinal nerve root, the other twenty four cases had symptoms of compression of spinal cord, and meanwhile vertigo and diplopia were also noticed. Four patients had the PCD performed at the two levels. The procedures were performed at C3~4 level in five cases, C4~5 level in seven cases, C5~6 level in thirteen cases,and C6~7 level in four cases. The success rate was 96% and the excellen or good rate was 88%.The pressures of intervertebral disc were measured in operation in four cases that showed the PCD could decrease the pathologicly high pressure of intervertebral disc and thus, the disease was cured. Owing to the appliance of endoscope, the operation was performed more safely and more reasonably.

Key words: cervical spondylosis, herniation of cervical intervertebral disc, percutaneous

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