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首页> 外文期刊>Journal of neurosurgical sciences >Minimally invasive transmuscular approach for the treatment of lumbar herniated disc: Far lateral lumbar disc herniation: A clinical study. Applications for cervical and thoracic disc herniation
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Minimally invasive transmuscular approach for the treatment of lumbar herniated disc: Far lateral lumbar disc herniation: A clinical study. Applications for cervical and thoracic disc herniation

机译：微创经肌疗法治疗腰椎间盘突出症：远侧腰椎间盘突出症：一项临床研究。颈胸椎间盘突出症的应用

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Aim. In this study, we are using a recently developed method: a minimally invasive retractor system and an operating microscope to treat far lateral lumbar herniated disc. This method decreases tissue dissection and blood loss, and improves postoperative recovery. Methods. This is a retrospective study of 46 patients, there was 25 female and 21 male. They all underwent minimal invasive surgery. The average age was 56 years old (19-83 years). Lumbar disc herniation is a common pathology. Far lateral disc herniation accounts for 2.6% to 11.2% of all lumbar disc herniation. A few surgical techniques have been describes to treat this type of disc pathology. All patients were operated under general anesthesia. The fluoroscopic guidance was absolutely necessary. A 12-15 mm skin incision was made on the side of the disc herniation (30 mm from the midline). Then, we inserted a tubular retractor system (muscle splitting approach) followed by a 14 mm diameter-working channel. Under operating microscope the pars interarticularis was dreamed to expose the nerve root and the disc. After removing the intertransverse ligament, we removed the herniated disc. Results. The average time of surgery was 55 min. The operating time decreased with the experience of the surgical team. Postoperatively the radicular pain was around 2 (using an analogical visual scale), over 7 preoperatively. The length of hospitalization was 3 days. There were no complications in our study. The average follow-up was 2 years (6-36 months). There was no complication, no postoperative infection. Conclusion. This technique combines the advantages of endoscopic surgery and microscope guided surgery (3D vision) and provides good functional results in this study.
机译：目标。在这项研究中，我们使用一种最新开发的方法：一种微创牵开器系统和一个手术显微镜来治疗远侧腰椎间盘突出症。这种方法减少了组织解剖和失血，并改善了术后恢复。方法。这是一项对46例患者的回顾性研究，其中25例女性和21例男性。他们都接受了微创手术。平均年龄为56岁（19-83岁）。腰椎间盘突出症是一种常见的病理。远侧椎间盘突出症占所有腰椎间盘突出症的2.6％至11.2％。已经描述了一些外科手术技术来治疗这种类型的椎间盘疾病。所有患者均在全身麻醉下手术。透视检查是绝对必要的。在椎间盘突出的一侧（距中线30毫米）切开12-15毫米的皮肤切口。然后，我们插入了管状牵开器系统（肌肉劈开术），然后插入了直径为14 mm的工作通道。在手术显微镜下，梦想中的关节突暴露神经根和椎间盘。去除横断韧带后，我们去除了椎间盘突出。结果。平均手术时间为55分钟。手术时间随着手术团队的经验而减少。术后根性疼痛约为2（使用类比视力表），术前超过7。住院时间为3天。我们的研究没有并发症。平均随访时间为2年（6-36个月）。没有并发症，没有术后感染。结论。该技术结合了内窥镜手术和显微镜引导手术（3D视觉）的优势，并在这项研究中提供了良好的功能结果。

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