요추간판탈출증 환자의 미세수술적 치료 = Microsurgery for Lumbar Disc Disease

다국어 초록 (Multilingual Abstract)

The management for herniated lumbar disc has been improved steadily since the standard discectomy was introduced at the early stage of this centrury. The therapeutic use of standard discectomy has been critisized by some investigators because of its invasiveness and potential postoperative sequele. Recently various non-invasive means were developed, however there still some disadvantages with them such as high cost and their limitation of disc removal. In the present study fifty-nine cases managed with microsurgical discectomy were presented, all performed by one surgeon and analysed by the other. The operative results, assessed 6 months postoperatively, showed that the microdiwecetomy was of good quality, comparable to the results of the standard discectomy reported by others. Patients have discharged eady(1ess than 10 days) and returned to their usual activities quickly(1ess than 3 weeks). The advantage of this technique is its capacity to preserve better integrity of normal tissue and to impose less trauma on the body. Furthermore it may be more costeffective than any other surgical managements available. It can be concluded that microsurgical discectomy represents one of the best refinements of standard discectomy even if it has also some negative points.