Microendoscopic discectomy for enormous central type lumbar disc herniation：report of 23 cases

罗刚; 李长青; 周跃

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Microendoscopic discectomy for enormous central type lumbar disc herniation：report of 23 cases

更新时间：2026-01-09

- Microendoscopic discectomy for enormous central type lumbar disc herniation：report of 23 cases
- Journal of Army Medical University Vol. 31, Issue 5, Pages: 444-445(2009)
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  CLC： R616;R681.53
- Published：2009
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罗刚,李长青,周跃.椎间盘镜下治疗巨大中央型腰椎间盘突出23例[J].陆军军医大学学报(原第三军医大学学报),2009,31(05):444-445.

　LUO Gang,LI Chang-qing,ZHOU Yue.Microendoscopic discectomy for enormous central type lumbar disc herniation：report of 23 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(05):444-445.
罗刚,李长青,周跃.椎间盘镜下治疗巨大中央型腰椎间盘突出23例[J].陆军军医大学学报(原第三军医大学学报),2009,31(05):444-445. DOI：

　LUO Gang,LI Chang-qing,ZHOU Yue.Microendoscopic discectomy for enormous central type lumbar disc herniation：report of 23 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(05):444-445. DOI：

摘要

目的探讨腰椎间盘镜下治疗巨大中央型腰椎间盘突出症的可行性及疗效。方法回顾分析本科2003－2006年间23例经椎间盘镜下治疗巨大中央型腰椎间盘突出症患者资料，术后采用Macnab疗效标准评估手术效果。结果术后随访3~12个月，优良21例，可2例，优良率86.9%。结论熟悉脊柱解剖，灵活运用椎间盘镜工作通道，采用椎板间隙入路治疗巨大中央型腰椎间盘症，可以取得满意的临床疗效。

Abstract

Objective To study the feasibility and effect of microendoscopic discectomy on the central type of enormous intervertebral disc herniation. Methods From 2003 to 2006

23 patients (18 males

5 females) were diagnosed with enormous central type lumbar disc herniation and treated by microendoscopic discectomy. Their clinical data were restropectively analyzed

and postoperative outcomes in hip function were evaluated by Macnab scoring system. Results Being followed up for 3-12 months

21(86.9%) patients were rated as good or excellent for their outcome

and the other two as fair. Conclusion Microendoscopic discectomy through interlaminar approach achieves satisfied outcome for enormous central type lumbar disc herniation.

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