Objective:To observe the short-term curative effect of treating intervertebral disc herniation with nucleus pulposus resection via small incision and lamina fenestration.Methods:Nucleus pulposus resection via small incision and lamina fenestration was performed in 53 patients with intervertebral disc herniation,and the curative effects were observed.Results:All patients were followed up from 6 months to half and 2 years.By modified macNab grad-ing,28 patients were in criteria of excellent recovery,19 in good,6 in fairy state,and poor recovery was zero.The better recovery rate was 88.68%.Conclu-sion:Nucleus pulposus resection via small incision and lamina fenestration can be better curative effects in treating patients with intervertebral disc hernia-tion,and has advantages of early recovery,reduced complications,and easy performance,suggesting that this technique is worthy of wider clinical applica-tion.%目的:探讨小切口椎板开窗髓核摘除术治疗腰椎间盘突出症的近期疗效.方法:对53例诊断明确的腰椎间盘突出症患者行小切口椎板开窗髓核摘除手术,观察患者术后疗效,总结相关经验.结果:所有患者均获得随访,随访时间为0.5~2.5年,患者采用改良Macnab分级,评定为优28例,良19例,可6例,差0例,优良率88.68%.结论:小切口椎板开窗髓核摘除术治疗腰椎间盘突出症,具有良好的疗效,术后恢复快,并发症发生率低,易于开展,适用范围广.
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