近来微创手术方面取得长足进步，出现了如椎间盘镜(endoscopic discectomy)和经皮椎间盘切除术(percutaneous discectomy)等方法。但是，这些治疗措施仅着眼于改善疾病的临床症状，而不是从根本上减缓或中止退变进程。
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4．2．2 经皮椎间盘切除术（percutaneous lumbar discectomy， PLD） PLD的机制是通过去除椎间盘组织降低椎间盘压力，从而减弱或消除神经根损害的张力机制。
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经皮腰椎间盘切除术 percutaneous lumbar diskectomy ; percutaneous puncture discectomy ; automatedpercutaneouslumbardiscectomy ; pcrcutancous lumbardiscectomy
经皮穿刺椎间盘切除术 Percutaneous lumbar diskectomy
经皮激光椎间盘切除术 percutaneous laser dis decompression ; PLDD
经皮椎间盘髓核切除术 percutaneous lumbar discectomy ; PLD
经皮自动椎间盘切除术 Percutaneous automated discectomy
用经皮腰椎间盘切除术 percutaneous lumbar discectomy
目的研究经皮穿刺腰椎间盘切除术和胶原酶化学溶解术联合治疗腰椎间盘突出症的疗效。
Objective to investigate the therapeutic effect of percutaneous lumbar diskectomy (PLD) combining with chemonucleolysis (CNL) by injection of collagenase in the treatment of lumbar disc herniation.
目的评价经皮颈椎间盘切除术(PCD)和化学溶核(CNL)治疗颈椎间盘突出症的价值。
Objective to evaluate percutaneous cervical diskectomy (PCD) and chemonucleolysis (CNL) in treating cervical disk herniation.
方法将312例腰椎间盘突出症病人，随机分为3组，分别采用经皮穿刺腰椎间盘切除术、胶原酶化学溶解术和二者联合治疗方法进行治疗。
Methods 312 patients with Lumbar disc herniation were classified into three groups randomly, and were treated respectively with PLD, CNL and PLD combining with CNL.
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