关键词: 腰椎间盘突出症, 治疗, 内窥镜, X-tube

Abstract: 【Abstract】〓Objective〓To investigate the curative effect on the decompressive laminectomy and discectomy using x-tube operation system for the treatment of lumbar disc herniation. Method〓From Jan 2010 to Jun 2012, the clinical data of 36 patients with lumbar disc herniation were analyzed respectively. All cases.(including L4/5 in 20 cases,L5/S1 in 16 cases)underwent the surgical procedure of decompressive laminectomy and discectomy using x-tube operation system..The clinical effects were evaluated according to Nakai scale. The operative time, intraoperative blood loss, complications, pre- and post-operative VAS score and ODI score were observed. Result〓All patients were followed-up for an average of 18 months (range from 12 to30)..The patients were excellent results in 22, good in 12, fair in 2 according to Nakai scale. The operative time was 50 min (30-110 min), intraoperative blood loss were 43 ml(10-150 ml). The pre- and post-operative VAS score were 8.1±1.5 and 2.7±1.2. The average ODI score was decreased from 75.5±18.2% of pre-operation to 18.3±7.5% of post-operation..ODI score in 6 months and one year were lower than that in preoperation. Cutaneous necrosis occurred in one case and disruption of wound happened in one case. Conclusion〓The surgical procedure of decompressive laminectomy and discectomy using x-tube operation system for the treatment of lumbar disc herniation could achieve satisfactory clinical results based on strict operation indication and a definitive study curve.

Key words: Lumbar disc herniation, Treatment, Endoscope, X-tube