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腰椎间盘伴骨化内镜下治疗1例诊治分析并文献复习
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Abstract:
腰椎间盘突出伴骨化是腰椎间盘突出症中一种常见类型，通常发生在中老年人或者患病时间较长的患者。对于有明显腰椎间盘突出伴骨化的患者一般建议手术治疗，手术可以切除对神经有明显干扰以及导致明显压迫的骨化。经皮内镜下腰椎间盘切除术作为一种微创脊柱手术，与开放手术相比，因其切口小、恢复快、住院时间短和同等临床结果而获得越来越多的认可。常规经皮内镜下腰椎间盘切除术在治疗椎间盘突出上有明显优势，但是对于合并有骨化生成的患者疗效一直备受争议。
Lumbar disc herniation with ossification is a common type of lumbar disc herniation, usually occur-ring in middle-aged and elderly people or patients with a long history of illness. For patients with obvious lumbar disc herniation and ossification, surgical treatment is generally recommended. Surgery can remove ossification that significantly interferes with nerves and leads to significant compression. Percutaneous endoscopic lumbar discectomy, as a minimally invasive spinal surgery, has gained increasing recognition compared to open surgery due to its small incision, fast recovery, short hospital stay, and equivalent clinical outcomes. Conventional percutaneous endoscopic lum-bar discectomy has significant advantages in the treatment of intervertebral disc herniation, but its efficacy in patients with combined ossification has always been controversial.
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