联合应用髓核切吸与胶原酶盘内注射术治疗腰椎间盘突出症

摘要

目的：探讨提高经皮穿刺腰椎间盘髓核切吸术疗效的有效途径。方法：对50例腰椎间盘突出症病人行经皮穿刺腰椎间盘髓核切吸术后再注射胶原酶于椎间盘内。结果：有48例患者术后均获得满意疗效，其中包括10例有部分髓核组织脱入椎管的病人。结论：经皮穿刺腰椎间盘髓核切吸术后再注入胶原酶能明显提高疗效，对于突出程度较重的病人联合应用髓核切吸与胶原酶盘内注射术是一种有效的治疗方法。%Objective: To explore the effect of combined use of collagenase injection with percutaneous lumbar diskectomy for treating lumbar disc herniation. Methods: Fifty patients with lumbar disc herniation following percutaneous lumbar diskectomy were performed collagenase injection of lumbar disc. Results:48 patient, including 10 patients with partial nucleus pulposus herniation into spinal canal,obtained good responses after the above combined operation. Conclusion: Injecting collagenase into lumbar disc after percutaneous lumbar diskectomy can improve obviously curative effect of treating lumbar disc herniation. And it is an effective method of therapy for the patient suffering from serious lumbar disc herniation.