Quadrant系统下髓核单摘

Quadrant 系统微创治疗胸腰椎骨折20例疗效观察赵晔;李书奎;李维彬;程才;刘志伟【摘要】目的：观察Quadrant系统微创治疗胸腰椎骨折的临床疗效。

方法将39例胸腰椎骨折患者随机分为2组，治疗组20例采用Quadrant系统进行微创手术治疗，对照组19例采用传统手术方法。

比较2组手术各项指标，包括切口长度、术中出血及手术时间；所有病例均随访10～48个月，根据视觉模拟评分（VAS）方法评价手术前后腰痛程度；应用Prolo问卷评价临床疗效。

结果2组手术切口长度、手术时间、术中出血量比较差异均有统计学意义（P＜0．01）。

末次随访时治疗组手术疗效优良率89．5％，对照组90．0％，2组比较差异无统计学意义（P＞0．05），2组疗效相近；治疗组术后1周VAS评分低于对照组（P＜0．05）。

结论应用Quadrant系统微创手术创伤小，痛苦轻、恢复快、疗效佳患者易于接受。

%Objective To investigate the surgical therapeutic effect of thoracolumbar fracture treated by min -imally invasive surgery with Quadrant system .Method Select thirty-nine patients with thoracolumbar fracture .All 39 cases were randomly divided into two groups , 20 cases received operations with Quadrant system in group A , and the others with traditional operation in group B .According to the visual analogy method ( VAS) , Prolo standard , the clinical outcome was evaluated , and compared the index , including the length of incision , the bleeding volume , and the operation time.All cases were followed 10-48months.Results There was significant difference between two groups onthe length of incision, the bleeding volume, the operation time(P<0.01).Excellent rate of surgery in treatment group last follow -up was89.5%, and 90.0% in control group.There was no significant difference be-tween two groups (P>0.05).VAS score after a week of operation in treatment group was lower than that in control group (P<0.05).Conclusion The therapeutic outcome of the two groups is similar .But the surgery trauma is smal-ler by using Quadrant system , and pain is lighter , recovering faster , the minimally invasive surgery applicating Quad-rant system is a better way for thoracolumbar fracture patients .【期刊名称】《河北中医》【年(卷),期】2014(000)006【总页数】3页(P954-956)【关键词】骨折;胸椎;腰椎;外科手术,微创性【作者】赵晔;李书奎;李维彬;程才;刘志伟【作者单位】河北省沧州市中心医院骨一科，河北沧州 061001;河北省沧州市中心医院骨一科，河北沧州 061001;河北省沧州市中心医院骨一科，河北沧州061001;河北省沧州市中心医院骨一科，河北沧州 061001;河北省沧州市中心医院骨一科，河北沧州 061001【正文语种】中文【中图分类】R683.2;R687.3随着近年建筑业及交通运输业的发展，脊柱外伤病例逐年增多，其中胸腰椎骨折在脊柱骨折中占据较大比例，通过手术治疗可使骨折椎体复位，患者早期下地活动，但传统开放性手术创伤较大，对脊柱后方肌肉韧带干扰较大，且恢复时间较长，患者不易接受[1]。

浅谈Quadrant 通道系统下手术治疗腰椎间盘突出症的中西医护理摘要】目的：探讨Quadrant 通道系统下行微创手术治疗腰椎间盘突出症的中西医护理模式。

方法：对Quadrant 通道系统下行微创手术治疗腰椎间盘突出症的患者做好术前术后护理，中医中药治疗、饮食指导、功能锻炼和出院指导等辨证施护方法。

结果：经随访6 个月，手术优良率为95．5％。

结论：对Quadrant 通道系统下行微创手术治疗腰椎间盘突出症的患者采取合理而系统的中西医护理，对减少并发症的发生，促进患者早日康复，提高其生活质量具有重要意义。

【关键词】腰椎间盘突出症；Quadrant 微创系统；中西医护理【中图分类号】R2-031【文献标识码】A【文章编号】1276-7808（2014）04-061-01腰椎间盘突出症是骨科的常见病和多发病，在经正规非手术治疗无效果的情况下，手术是一种有效的治疗方法。

Quadrant 脊柱后路微创撑开手术系统[1]是在X-TUBETM 操作技术基础上发展起来的微创脊柱外科操作系统，用于治疗腰椎间盘突出症，既可彻底解除压迫，又能最大限度保持腰椎力学稳定性，能使患者尽早下床。

2010 年10 月至2012 年10 月，本院骨科对60 例采用Quadrant 通道系统微创手术治疗腰椎间盘突出症的患者，术前、术后给予情志调护、中医适宜技术、运动疗法、药膳调理、合理饮食等中西医护理，效果满意。

1 临床资料本组60 例，男44 例，女16 例，20～68 岁，平均42 岁，病史7～6 年，平均29.5 月；患者术前经CT 或MRI 提示为腰椎间盘突出症。

腰椎间盘突出的发生部位：L3-4 间隙2 例，L4-5 间隙38 例（其中合并L5-S1椎间盘突出症者5 例），L5-S1 间隙20 例。

所有病例均表现为明显的腰腿痛、腰椎活动受限、腰椎压痛、直腿抬高试验阳性，长期非手术治疗效果不明显。

本组病例均采取全麻或硬膜外麻醉后在Quadrant 通道系统下行微创手术治疗，术前、术后给予及时、有效的中西医护理措施，取得满意效果。

Quadrant通道下手术治疗腰椎间盘突出症围手术期护理标签：腰椎间盘突出症；围手术期；护理腰椎间盘突出症是因椎间盘变性、纤维环破裂、髓核突出刺激或压迫神经根或马尾神经所表现的一组综合征。

对症状重、保守治疗无效或多次反复发作者宜采用手术治疗。

手术方法有半椎板或全椎板切除、椎间盘摘除、侧隐窝扩大，神经根松解术等方法治疗效果显著。

而术后护理对巩固手术疗效。

预防并发症的发生起着重要的作用。

2013年04月至2014年3月，我科对80例腰椎间盘突出症患者采用Quadrant通道系统手术。

Quadrant脊柱后路微创撑开手术系统是在X-TUBETM操作技术基础上发展起来的微创脊柱外科操作系统，用于治疗腰椎间盘突出症，既可彻底解除压迫，又能最大限度保持腰椎力学稳定性，能使患者尽早下床。

现将护理环节和护理体会总结如下：1 临床资料1.1 一般资料本组病例80例，男50例，女30例，年龄25岁～60岁，平均年龄35岁，病史3年—30年，均为腰椎间盘突出症患者，其中L4-L5椎间盘突出者50例，L4-L5，L5-S1椎间盘突出30例，症状中腰痛伴单侧下肢麻痛者46例，双侧下肢麻痛者24例，同時伴有间歇性跋10例，MRI检查明确诊断。

1.2 手术方法在连续硬膜外麻醉、Quadrant通道下L4-L5椎间盘摘除、侧隐窝扩大，神经根松解术52例，单侧半椎板切除减压、神经根松解术18例。

双侧椎板减压神经根松解术10例。

所有病例由于术前、术后的充分准备及护理的密切配合，均痊愈出院。

2 护理方法2.1术前护理2.1.1 心理护理：大多数患者长期受病痛的折磨，一般都有强烈的医治欲望，但面对手术，又产生许多的心理顾虑，故应让患者了解手术治疗方案，提高患者接受手术治疗的勇气，使其在有心理准备的状态下接受手术。

调动其术后功能锻炼的积极性。

2.1.2 协助患者做好各项辅助检查，如：MRI、生化检查、心电图及胸部DR 片等。

2.1.3 床上大小便训练：为了避免术后长时间卧床、患者无法适应床上大小便现象的出现，术前3天应开始训练患者在床上大小便。

可扩张通道下髓核摘除术联合纤维环修复技术治疗腰椎间盘突出症的疗效观察胡亚宁【摘要】目的观察Quadrant可扩张通道下髓核摘除术治疗腰椎间盘突出症(lumbar disc herniation,LDH)的疗效,并探讨术中予以纤维环修复的临床价值.方法随机选择2013-09-2015-07行Quadrant可扩张通道下髓核摘除术治疗的LDH患者76例纳入本研究,依据术中对纤维环的处理方式不同,将其分为两组:缝合组39例,在髓核摘除的同时,均予以纤维环缝合处理;对照组37例,仅单纯予以髓核摘除手术,纤维环破裂口不予处理.结果与对照组相比,缝合组的手术时间略长、术中出血量略多,但组间差异无统计学意义(P＞0.05);术后3个月、2年时,两组患者的VAS评分和ODI指数均显著改善(P＜0.05),但组间无显著性差异(P＞0.05).截至术后2年时,缝合组2例、对照组5例再次复发LDH,组间对比,缝合组的复发率显著低于对照组(5.13% VS 13.51%,P＜0.05).结论在Quadrant通道下髓核摘除手术中予以纤维环缝合处理,并未显著增加操作难度,有效重建了纤维环的完整性,有助于降低术后再次复发率.%Objective To observe the curative effect of nucleus pulposus removal under Quadrant expandable channel for lumbar disc herniation (LDH), and to explore the clinical value of intraopera-tive fibrous annulus repair. Methods From September 2013 to July 2015, 76 LDH patients who re-ceived Quadrant expandable channel discectomy treatment were randomly selected in the study. Ac-cording to the different treatment on fiber ring, the patients were divided into two groups. Thirty-nine cases in the suture group were treated by discectomy combined with fiber ring suture. Thirty-seven cases in the control group were only treatedwith discectomy, fibrous ring rupture was not treated. Re-sults Compared with the control group, the operation time of the suture group was slightly longer, in-traoperative blood loss was more, but there were no significant differences between the two groups (P＞0.05). Three months and 2 years after surgery, the VAS score and ODI index in two groups were im-proved significantly (P＜0.05), but the difference was not significant between the two groups (P＞0.05). Up to 2 years after operation, 2 cases in the suture group and 5 cases in the control group recurred a-gain. The recurrence rate in the suture group was significantly lower than that in the control group (5.13% vs 13.51%, P＜0.05). Conclusion Application of annulus suture in the operation of nucleus pulposus under Quadrant channel has not significantly increased the difficulty of operation, effectively reconstructed the integrity of the annulus fibrosus, and reduced the recurrence rate after operation.【期刊名称】《颈腰痛杂志》【年(卷),期】2018(039)003【总页数】4页(P309-312)【关键词】腰椎间盘突出症;髓核摘除术;Quadrant可扩张通道;纤维环缝合技术【作者】胡亚宁【作者单位】石家庄市第一医院骨一科,河北石家庄 050031【正文语种】中文【中图分类】R681.5对于绝对卧床、牵引、理疗等保守方案治疗无效的腰椎间盘突出症（lumbar disc herniation,LDH）患者，髓核摘除手术是解除神经根压迫、改善生活质量的首选治疗方法[1]。

微创Quadrant通道下椎间融合术治疗复发性腰椎间盘突出症的初步疗效陈嘉裕;刘展亮;张惠城【摘要】目的：评价腰椎后路微创Quadrant 通道下椎间融合术治疗复发性腰椎间盘突出症的初步临床疗效。

方法2010年1月～2012年12月，我科收治25例复发性腰椎间盘突出症患者，采用后路原切口双侧肌间隙入路（Wiltse入路），经微创Quadrant 通道下行椎间融合术。

应用Oswestry功能障碍指数（ODI）及疼痛视觉类比评分（VAS）对患者再次手术前、手术后进行临床疗效评价，腰椎薄层CT扫描及三维重建评估椎体间融合。

结果25例患者均获得随访，随访的时间为12～36个月，平均19．2个月。

术前VAS平均评分为8．26±1．4分，术后末次随访VAS平均评分为2．47±0．65分，与术前比较差异有统计学意义（P＜0．05）。

ODI评分术前平均40．32±3．14分，术后末次随访平均为6．67±2．54分，与术前比较差异有统计学意义（P＜0．05）。

末次随访椎体间植骨均融合，无椎弓根螺钉断裂和融合器移位。

结论微创Quadrant通道下椎间融合术治疗复发性腰椎间盘突出症安全有效。

%Objective To evaluate preliminary clinical efficacy of minimally invasive posterior lumbar spine interbody fusion under Quadrant system for recurrent lumbar disc herniation. Methods From January 2010 to December 2012,.a total of 25 cases with recurrent lumbar disc herniation were implemented surgery. The patients underwent interbody fusion via bilateral paramedian approach under Quadrant invasive system. ODI and VAS score were used to evaluate the pre-and post-revision operation outcome. Lumbar CT scan and three-dimensional reconstruction were used to assess the lumbarinterbody fusion. Results Twenty five patients were followed up for 12-36 months (mean, 19.2 months). The VAS score at preoperati on was 8.26±1.4, and 2.47±0.65 at last follow-up after operation, which showed statistical significance (P<0.05). ODI score preoperative and the last follow-up after operation were 40.32+3.14 and 6.67±2.54 (P<0.05), respectively. All cases got bony fusion in the last follow-up after operation. No breakage of pedicle screws or fusion device shift was noted. Conclusions It is safe and effective by using the Quadrant minimally invasive system for lumbar interbody fusion in the treatment of recurrent lumbar disc herniation.【期刊名称】《岭南现代临床外科》【年(卷),期】2014(000)006【总页数】4页(P675-678)【关键词】腰椎间盘突出症;复发性;Quadrant 通道【作者】陈嘉裕;刘展亮;张惠城【作者单位】514000 广东梅州梅州市人民医院;514000 广东梅州梅州市人民医院;514000 广东梅州梅州市人民医院【正文语种】中文【中图分类】R681.5+3腰椎间盘突出症是引起腰腿痛最常见的原因，保守治疗无效者通常采取手术治疗，大部分患者可以获得满意的临床效果，但文献报道腰椎间盘突出症术后再手术率为10%～15%［1］。

MAST Quadrant可扩张通道管系统治疗单节段腰椎间盘突出症的围术期护理梁静娟【摘要】[目的]总结MAST Quadrant可扩张通道管系统治疗单节段腰椎间盘突出症的围术期护理.[方法]对45例单节段腰椎间盘突出症病人采用MAST Quadrant可扩张通道管系统治疗,同时加强围术期护理,完善床上大小便训练、轴线翻身训练、直腿抬高及腰背肌功能训练、疼痛宣教、正确使用腰围等术前准备,做好心理护理,术后严密观察病情变化、预防并发症发生、督促病人循序渐进地进行锻炼.[结果]45例单节段腰椎间盘突出症病人均手术顺利,无中转开放手术.住院时间8 d～17 d,术后切口均为一期愈合,无腹胀、切口感染、神经根损伤、脑脊液漏等并发症的发生.术后X线片示无内固定松动、断裂、失效等情况发生.术后随访3个月～6个月,均已达到骨性愈合.末次出院时疼痛NRS评分0.8分±0.3分.手术时间180 min±36 min,出血量195 mL±74mL,病人均未输血.术后1个月、3个月、6个月日本矫形外科协会评分(JOA)改善率分别为75.0％、79.2％、87.3％.[结论]加强围术期护理是单节段腰椎间盘突出症病人行MAST Quadrant可扩张通道管系统治疗成功的保证.【期刊名称】《全科护理》【年(卷),期】2016(014)022【总页数】3页(P2299-2301)【关键词】腰椎间盘突出症;Quadrant通道;围术期;护理【作者】梁静娟【作者单位】200040,复旦大学附属华山医院【正文语种】中文【中图分类】R473.6腰椎间盘突出症是一种因椎间盘退变、纤维环破裂，髓核组织后凸压迫脊髓或神经而出现的一系列临床症状的多发病和常见病，以22岁～58岁为多发年龄，一般男性多于女性[1]。

腰椎间盘突出症是腰腿痛最常见的原因之一，给病人日常生活、工作和劳动造成很大影响[2-3]。

随着外科微创手术的发展，可扩张通道管微创系统(MAST Quadrant)在脊柱外科中得到了有效运用和发展，其具有可在直视下手术、组织创伤小、恢复快、疗效确切等特点[4]。

微创治疗腰椎间盘突出症的效果观察曹志军【摘要】目的：分析微创治疗腰椎间盘突出症的临床效果。

方法：选取我院骨科2010年1月至2013年11月间收治的腰椎间盘突出合并脊椎滑脱患者127例，分为观察组(71例)和对照组(56例)，观察组给予椎间盘镜下髓核摘除术治疗，对照组给予MAST Quadrant通道下髓核摘除术治疗,比较两组患者的预后情况。

结果：观察组与对照组患者术后VAS评分明显低于术前(P<0.05)，ODI评分明显高于术前( P<0.05)，差异具有统计学意义；观察组与对照组临床有效率、手术持续时间、出血量、术后VAS评分及ODI评分差异无统计学意义。

结论：椎间盘镜下髓核摘除术及MAST Quadrant通道下髓核摘除术均是治疗腰椎间盘突出合并脊椎滑脱的有效手段，且创伤较小，可以广泛应用于临床。

【期刊名称】《现代仪器与医疗》【年(卷),期】2014(000)006【总页数】2页(P97-98)【关键词】腰椎间盘突出;脊椎滑脱;手术治疗【作者】曹志军【作者单位】江苏南通市海安县中医院骨3科，江苏南通 226600【正文语种】中文【中图分类】R681.5腰椎间盘突出合并脊椎滑脱临床症状主要包括腰腿疼痛以及自主活动能力下降[1-2]，目前外科手术疗效较为肯定，在摘除突出的腰椎间盘的同时保证患者脊柱的稳定性是每一个脊柱外科医师的追求[3]。

传统外科手术创伤大、术后恢复时间长，不利于患者术后恢复[4]。

故本文旨在探讨不同微创手术治疗腰椎间盘突出合并脊椎滑脱的临床效果，现简要汇报如下。

1.1 一般资料选取我院骨科于2010年1月至2013年11月间收治的腰椎间盘突出合并脊椎滑脱患者127例，其中男性患者69例，女性患者58例，年龄32-79岁，平均年龄（50.27±4.98）岁。

通过核磁共振等影像学检查，54例患者诊断为创伤性腰椎间盘突出，73例患者诊断为退行性腰椎间盘突出。

依据Megerdin 法确定滑脱程度[2]，其中I级97例，Ⅱ级28例，Ⅲ级 2例。

Quadrant 单侧固定椎间融合治疗不稳定型腰椎间盘突出症李青;姚海燕;梁道臣;赵成毅;张爱明;梅治;陈应超;张非【摘要】Objective To explore the clinical outcome of the minimally invasive surgical approach by mast Quadrant sys-tem in the treatment of lumbar disc herniation with lumbar spinal instability. Methods For 31 patients with single level lum-bar disc herniation with lumbar spinal instability which diagnosed by magnetic resonance imaging and dynamic X-rays. This group included 20 males and 11 females. All patients were managed by unilateral pedicle screw fixation and interbody fusion under Mast Quadrant system. We evaluate the therapeutic effect according to Japanese Orthopaedic Association(JOA)and Os-westry disabilityindex(ODI)before and after surgery. X-rays was used to evaluate the height variation and fusion of interverte-bral space. Results All patients were followed up for 14 to 36 months,with a mean period of 20. 4 months. The symptoms of lumbar and lower extremity were relieved completely. There was no decrease of intervertebral height. Radiographic interbody fu-sion rate was 100% . According to JOA scoring,the score increased from(7. 6 ± 2. 5)before operation to(25. 7 ± 1. 4)in the last follow-up,improvement rate of treatment was 84. 46% ,the score of ODI decreased from(55. 5 ± 5.2)to(10. 9 ± 3. 0)in the last follow up after surgery. Conclusion The minimally invasive surgical treatment of unilateral pedicle screw fixation and interbody fusion assisted mast Quadrant system for lumbar disc herniation with lumbar spinal instability is reliable and providessatisfactory lumbar fusion and clinical results.%目的：探讨在MastQuadrantTM 可扩张管通道系统下单侧固定加 Cage 治疗腰椎间盘突出症伴腰椎不稳的临床疗效。

Quadrant系统下经伤椎置钉单节段治疗胸腰椎骨折的临床研究唐贤钧【摘要】目的探讨Quadrant系统下经伤椎置钉单节段治疗胸腰椎骨折的临床效果.方法将80例胸腰椎骨折患者采用随机数字表法分为对照组及研究组各40例.对照组采取开放椎弓根钉内固定治疗,研究组采取Quadrant系统下经伤椎置钉单节段治疗,比较两组患者临床治疗效果.结果研究组并发症发生率10.0％ (4/40),显著低于对照组的20.0％ (8/40),两组比较,差异有统计学意义(P＜0.05);围术期相关指标、椎间活动度、术后影像学参数和VAS评分相比较,研究组优于对照组,两组比较,差异有统计学意义(P＜0.05).结论 Quadrant系统下经伤椎置钉单节段治疗胸腰椎骨折取得的效果相较于开放椎弓根钉内固定治疗更佳,可作为临床治疗的优选方案加以推广使用.【期刊名称】《微创医学》【年(卷),期】2016(011)006【总页数】4页(P847-849,878)【关键词】Quadrant系统;椎弓根钉内固定;胸腰椎骨折【作者】唐贤钧【作者单位】湖北省潜江中心医院骨外科,潜江市433100【正文语种】中文【中图分类】R683.2胸腰椎骨折是骨外科常见病症，致病原因多与暴力损伤有关[1]。

由于胸腰椎骨折往往波及其他脏器或合并神经功能损伤，成为临床医生面临的棘手问题[2]。

随着椎弓根钉棒内固定术的研发与应用，椎弓根钉棒内固定术已经成为临床治疗胸腰椎骨折的主要手段，尤其是Quadrant系统的应用使该病的治疗效果得到了进一步提高。

笔者在Quadrant系统下经伤椎置钉单节段治疗胸腰椎骨折，取得较好效果，现报告如下。

1.1 一般资料选取我院2014年5月至2016年5月收治的80例胸腰椎骨折患者作为研究对象，采用随机数字表法分为对照组及研究组各40例。

对照组男28例，女12例；年龄35～65岁，平均年龄(50.25±1.33)岁；致伤原因：交通事故17例、高空坠落15例、跌倒伤8例；骨折部位：T11 5例、T12 12例、L1 15例、L28例；ASIA神经功能分级：C级5例、D级12例、E级23例。

Quadrant微创通道与经皮椎间孔镜技术治疗腰椎间盘突出症的疗效对比张伟学;王猛;曹帅;姜良德;苏宝金【摘要】目的对比Quadrant微创通道与经皮椎间孔镜技术治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效.方法回顾性分析2015-08-2016-03微创手术治疗的80例LDH患者,其中PTED技术治疗37例,Quadrant微创通道技术治疗43例,统计两组患者的手术时间、住院时间、术后恢复工作时间、并发症情况,以及手术前后(术前、术后3d及1、3、12个月)的VAS评分、JOA评分和ODI指数等疗效指标,并进行组间对比.结果两组患者手术时间较为相近(P＞0.05);但与Quadrant组相比,PTED组的切口长度更小、住院时间和恢复工作时间更短,差异均有统计学意义(P＜0.05).两组患者术后腰痛和腿痛VAS评分和ODI指数均显著下降,JOA评分均显著提高(P＜0.05);组间相比,PTED组术后3d、1个月的腰痛VAS评分显著低于Quadrant组(P＜0.05),余无显著性差异(P＞0.05).术后12个月,PTED组的总优良率为91.9％,Quadrant组为95.3％,两组差异无统计学意义(P＞0.05).两组术后并发症情况无显著性差异(P＞0.05).结论采用经皮椎间孔镜与Quadrant微创通道手术治疗LDH患者,均可取得良好疗效.但椎间孔镜技术创伤更小、术后恢复更快,更具微创优势.%Objective To compare the clinical efficacy of Quadrant minimally invasive channel and percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of lumbar disc herniation (LDH).Methods From August 2015 to March 2016,the clinical data of 80 patients with LDH who were treated with minimally invasive surgery,were retrospectively analyzed.37 cases received PTED treatment,43 cases were treated by Quadrant minimally invasive channel technique.The operationtime,hospitalization time,postoperative recovery time,complications,VAS score before and after surgery (before surgery,postoperative 3 d and1,3,12 months),JOA score,ODI index and other indicators were analyzed and compared between the two groups.Results The operation time of two groups was similar (P＞0.05).Compared with the Quadrant group,the length of incision,hospitalization time and recovery time of PTED group were shorter,the differences were statistically significant (P＜0.05).After treatment,the low back pain and leg pain VAS scores and ODI index of two groups were significantly decreased,JOA scores were significantly increased (P＜0.05).Three days and 1 month after operation,the low back pain VAS score of PTED group was significantly lower than that of Quadrant group (P＜0.05).One year after operation,the total excellent rate of PTED group was 91.9％,and that of Quadrant group was 95.3％,the difference between the two groups was not statistically significant (P＞0.05).There was no significant difference in postoperative complications between the two groups(P＞0.05).Conclusion PTED and minimally invasive Quadrant surgery in the treatment of LDH can achieve good results.But the technique of PTED has less trauma,quick recovery and more minimally invasion.【期刊名称】《颈腰痛杂志》【年(卷),期】2018(039)002【总页数】4页(P133-136)【关键词】腰椎间盘突出症;经皮椎间孔镜技术;Quadrant微创通道;疗效对比【作者】张伟学;王猛;曹帅;姜良德;苏宝金【作者单位】北京市仁和医院,北京102600;北京市仁和医院,北京102600;北京市仁和医院,北京102600;北京市仁和医院,北京102600;北京市仁和医院,北京102600【正文语种】中文【中图分类】R681.5腰椎间盘突出症（lumbar disc herniation,LDH）是引起腰腿痛的主要病因，近年来，随着微创手术在脊柱外科的快速发展，以经皮椎间孔镜（percutaneous transforaminal endoscopic discectomy，PTED）为代表的脊柱内镜技术，以及Quadrant微创通道等可扩张通道技术逐渐成为LDH的主要手术方案[1]。