知识与财富的链接
目的观察腹腔镜下前路经皮穿刺腰5骶1（L5／S1）椎间盘髓核摘除术（TALD）的临床应用疗效。方法自1993年4月开展了与此相关的解剖学及影像学研究，并设计了腹腔镜下前路经皮穿刺L5／S1TALD。于1993年9月应用于临床，至1998年9月共完成该手术8例。结果8例患者经过临床7～10年的随访观察，总有效率100％。这可能与我们所做的病例适应证选择苛刻和病例较少有关。其中1例术后出现输液反应，由于身体抖动，造成手术部位疼痛，经过对症处理而治愈。结论腹腔镜下前路经皮穿刺L5／S1TALD，具有创伤小、疗效高、康复快、手术操作安全等优点，为L5／S1椎间盘突出开辟了一种新的介入治疗方法。
Objective To investigate the clinical efficacy of anterior laparoscopic approach to the transabdominal L5/S1 lumbar diskectomy.Methods Anterior laparoscopic access to the transabdominal L5/S1 lumbar disketomy was performed on eight patients from September 1993 to September 1998.Eight patients were followed up after operation for seven to ten years.Results After followed up,the total effective rate reached 100%.One patient occurred perfusion reaction after operation,and was cured through treatment.Conclusions Anterior laparoscopic approach to the transabdominal L5/S1 lumbar disketomy has the advantages of less wound,high curative effect,rapid recovery and safety operation.It is a new method of interventional treatment of lumbar disc herniation.
