Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty.
Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty.
复制标题
经皮显微减压内窥镜颈椎间盘切除术结合激光热椎间盘成形术。
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
Romulo B. Sison
中科院分区：
文献类型：
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作者：
John C. Chiu;Thomas J. Clifford;Mark Greenspan;Richard C. Richley;George Lohman;Romulo B. Sison
目的
研究门诊经皮微创减压内镜下颈椎间盘切除术的手术结果，采用低能量激光收缩椎间盘材料（热椎间盘成形术）。
方法
自1994年以来，200例颈椎间盘突出患者在作者的诊所就诊，表现为单侧神经根性疼痛。经MRI或CT、肌电图检查确诊。
结果
平均随访25个月，94.5%的病例具有良好至优秀的结果。11例患者（5.5%）仍有症状，持续性颈部和上肢疼痛伴感觉异常。无明显术后并发症。复工前的平均时间为10天。
结论
经皮显微减压内镜下颈椎间盘切除术与激光热椎间盘成形术已被证明是一种安全有效的微创手术。
OBJECTIVE
To study the surgical outcome of outpatient percutaneous microdecompressive endoscopic cervical discectomy with lower energy laser for shrinkage of disc material (thermodiskoplasty).
METHOD
Since 1994, 200 patients with herniated cervical discs have presented at the authors' clinic, with unilateral radicular pain. The diagnosis was confirmed by MRI or CT, and EMG.
RESULTS
At an average follow-up of 25 months, 94.5% of the cases had good-to-excellent results. Eleven patients (5.5%) remained symptomatic, with persistent neck and upper extremity pain associated with paresthesias. There were no significant postoperative complications. Average time before returning to work was 10 days.
CONCLUSIONS
Percutaneous microdecompressive endoscopic cervical discectomy with laser thermodiskoplasty has proven to be a safe and efficacious minimally invasive procedure.