摘要
目的探讨经皮激光椎间盘减压术(PLDD)治疗颈性眩晕的机制和适应证。方法对58例颈性眩晕患者88个突出间盘行PLDD。结果随访6个月-2年,术后眩晕立即消除48例(82.8%),明显改善5例(8.6%),无效5例(8.6%),无神经损害、感染等并发症发生。结论PLDD使椎间盘内压骤然降低,局部直接热疗可消除椎动脉痉挛,同时减少椎间盘内的炎性因子和化学介质的含量,对治疗颈性眩晕有明显疗效。
Objective To investigate the therapeutic mechanism and indication of percutaneous laser disc decompression (PLDD) on the treatment of cervical dizziness. Methods 88 protrusion discs of 58 cases of cervical dizziness under went PLDD. Results All cases were followed up for six months to two years. The dizziness disappeared in 48 cases( 82. 8% ) ,improved in 5 cases( 8.6% ) , and did not improve in 5 cases (8.6%). There was no complication such as nerve injury or infection in all cases. Conclusions PLDD can decrease the inner compression of disc suddenly with increasing the local temperature directly so as to eliminate the spasm of the vertebral artery so the therapeutic effect on the treatment of cervical dizziness is remarkable.
出处
《临床骨科杂志》
2008年第3期227-228,共2页
Journal of Clinical Orthopaedics
作者简介
姜永庆,男,硕士,主治医师,主要从事脊柱外科研究。