腰椎经椎间孔髓核摘除术治疗腰椎间盘突出症的应用解剖研究(附46例临床报告)

doi:10.3969/j.issn.1671-7171.2018.02.002

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract 【Objective】To study the applied anatomy of lumbar intervertebral disc nucleus pulposus in the treatment of lumbar disc herniation.【Methods】Ten adult cadaver specimens of lumbar spine were selected to measure the length, width and height of the lumbar intervertebral foramen. In addition, 46 patients with transplanted nucleus pulposus resections under their lumbar discs who were in our hospital were selected to evaluate the curative effect.【Results】From L₁to L₅, the intervertebral foramen width gradually decreased (P<0.05), the height gradually increased (P<0.05), and the distance from the lower edge of nerve root to the lower edge of intervertebral foramen gradually increased (P<0.05). The same intervertebral foramen width, height, length, and the distance from the inferior edge of nerve root to the lower edge of intervertebral foramina had no statistical significance (P>0.05). There was no significant difference between the medial and lateral sagittal plane of the pedicle, upper and lower articular process to the sagittal plane, and distance from the isthmus of the vertebral arch to the sagittal plane on the left and right sides (P>0.05). The postoperative clinical efficacy rate was 93.5% (43/46) in the 46 patients. The JOA score and the height of the intervertebral space were significantly higher than those before operation (P<0.05).【Conclusion】The intervertebral foramen has its unique anatomical structure. Cervical intervertebral foramen endoscopic discectomy has good clinical curative effect, simple operation procedure, and less surgical trauma. It is a better surgical method for the treatment of lumbar disc herniation.

Key words： Lumbar Vertebrae/AH Intervertebral Disk Displacement/SU Retrospective Studies

Received: 10 May 2017

PACS:

R681.533.1

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIAO Sheng
	WEN Jie

Cite this article:

XIAO Sheng,WEN Jie. Applied Anatomy of Lumbar Intervertebral Nucleus Pulposus Resection in the Treatment of Lumbar Disc Herniation[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(2): 212-215.

URL:

http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.02.002 OR http://www.jcr.net.cn/EN/Y2018/V35/I2/212

[1] 葛行新,刘加元,魏东,等.经椎间孔髓核摘除并椎间融合术治疗高位腰椎间盘突出症[J].颈腰痛杂志,2016,37(3):219-222.
[2] Chu J,Wang T,Pei S,et al.Surgical treatment for idiopathic intervertebral disc calcification in a child:case report and review of the literature[J].Childs Nerv Syst,2015,31(1):123-127.
[3] 李振宙,侯树勋.经皮侧后路腰椎间孔成形与经椎间孔完全内镜下腰椎间盘摘除术[J].中国骨与关节杂志,2014,3(8):621-625.
[4] 李嵩鹏,周游,李定,等.椎间孔镜(TESSYS)入路相关的L₅～S₁节段椎间孔解剖学观测[J].中国临床解剖学杂志,2015,33(2):129-133.
[5] 徐宝山,马信龙,夏群,等.椎间孔镜TESSYS技术治疗腰椎间盘突出症效果分析[J].天津医药,2014,42(5):470-472.
[6] Lurie JD,Henderson ER,Mcdonough CM,et al.The effect of expectations on treatment outcome for lumbar intervertebral disc herniation[J].Spine2015,41(9):803-808.
[7] 杨湘江,张洪,曾月东,等.椎板间入路椎间孔镜下摘除L₅/S₁椎间盘突出髓核技术改进探讨[J].中国内镜杂志,2015,21(3):326-329.
[8] 张鑫,张为,孙亚澎,等.经皮椎间孔镜与椎板开窗髓核摘除手术治疗肥胖患者腰椎间盘突出症的临床疗效比较[J].中华解剖与临床杂志,2016,21(5):442-447.
[9] Sickinger M,Hirz M,Schmidt M J,et al.Dysuria due to discospondylitis and intervertebral disc herniation in a male alpaca (Vicugna pacos)[J].Acta Vet Scand,2015,58(1):1-5.
[10] 巨辉,白国强,杨磊,等.胶原酶髓核溶解术和椎间孔镜术治疗腰椎间盘突出症疗效对比[J].医学综述,2015,(19):3640-3641.
[11] Kong JG,Park JB,Lee D,et al.Effect of high glucose on stress-induced senescence of nucleus pulposus cells of adult rats[J].Asian Spine J,2015,9(2):155-161.
[12] 徐峰,张同会,蔡贤华,等.经皮椎间孔镜治疗复发性腰椎间盘突出症的临床应用[J].中国矫形外科杂志,2016,24(13):1179-1183.
[13] Liu Y,Fu S,Rahaman MN,et al.Native nucleus pulposus tissue matrix promotes notochordal differentiation of human induced pluripotent stem cells with potential for treating intervertebral disc degeneration[J].J Biomed Mater Res A,2015,103(3):1053-1059.
[14] 李嵩鹏,周游,李定,等.椎间孔镜(TESSYS)入路相关的L₅～S₁节段椎间孔解剖学观测[J].中国临床解剖学杂志,2015,33(2):129-133.
[15] 张德宏,方鹏飞,闫永海,等.经皮椎间孔镜下射频热凝纤维环成形联合髓核摘除修复腰椎间盘突出症[J].中国组织工程研究,2014,8(46):7412-7416.
[16] Lee KH,Yue WM,Yeo W,et al.Clinical and radiological outcomes of open versus minimally invasive transforaminal lumbar interbody fusion [J].Eur Spine J,2012,21(11):2265-2270.
[17] Yoo YC,Ok WK,Baik SH,et al.Removal of a vertebral metastatic tumor compressing the spinal nerve roots via a dingle-port,transforaminal,endoscopic approach under monitored anesthesia care [J].Pain Physician,2012,15(4):297-302.