【摘要】 目的 寻求一种腰椎间盘突出症简单、安全、有效、微创的治疗方法。方法 对42例经MRI或CT检查确诊的腰椎间盘突出症采用经皮穿刺低温消融髓核成形术(Nucleoplasty)治疗，并对其疗效进行临床分析。结果 全部患者经2～3个月短期随访，41例临床症状得到了消除和缓解，总有效率为97.5%。无一例出现脊髓、神经及血管损伤或术后感染等并发症。结论 髓核成形术是一种先进、安全、有效的椎间盘突出微创手术，具有操作简单、安全、微创、恢复快、住院时间短等优点，对腰椎间盘突出症患者应尽早行此手术，以制止其病理的进一步改变，从而达到本疾病的有效的微创治疗。

    【关键词】 腰椎间盘突出症；低温消融；髓核成形；微创

    Ablation nucleoplasty for the treatment of lumbar disc herniation

    YANG An-li, YAO Meng-wei, CAI Min-wei,et al.Department of Orthopedics，Yangpu Central Hospital，Shanghai 200090，China

    【Abstract】 Objective To search a new，simple，minimally invasive，safety and effective method to treat the lumbar disc herniation.Methods Fourty-two patients with lumbar disc hernintion receiveg precutaneous nucleoplasty were evaluated.Results They were followed prospectively from two months to three months ......