经皮椎间孔镜技术治疗腰椎间盘突症的进展

被引：45

作者：

方卫军 ^{[1
]}

李章华 ^{[2
]}

机构：

[1] 武汉大学人民医院骨科

[2] 湖北省武汉市第三医院骨科

来源：

中国医药导报 | 2016年 / 13卷 / 32期

关键词：

经皮椎间孔镜技术; 腰椎间盘突出症; 微创;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

腰椎间盘突出症是骨科的常见病和多发病,大部分患者经保守治疗后症状可以缓解,仅10%的患者最终需要手术治疗。治疗腰椎间盘突出症的手术方式有很多,传统开放手术具有创伤大、并发症多、易复发等缺点,微创技术具有创伤小、恢复快、并发症少等优点,使微创手术更受青睐。随着脊柱外科微创和内镜技术的发展,经皮椎间孔镜技术在临床上治疗腰椎间盘突出症越来越多,本文主要从经皮椎间孔镜的优势和适应证、操作技巧和注意事项、临床疗效和术后并发症等方面,阐述经皮椎间孔镜技术在腰椎间盘突出症治疗中的应用及进展。

引用

收藏

页码：34 / 37

页数：4

相关论文

共 20 条

[1]

Percutaneous endoscopic lumbar discectomy for recurrent lumbar disc herniation.[J].Xinhua Li;Zhouyang Hu;Jian Cui;Yingchao Han;Jie Pan;MingJie Yang;Jun Tan;Guixin Sun;Lijun Li.International Journal of Surgery.2016,

[2]

Minimally invasive redo discectomy for recurrent lumbar disc herniations [J].

Kogias, Evangelos ;

Jimenez, Pamela Franco ;

Klingler, Jan-Helge ;

Hubbe, Ulrich .

JOURNAL OF CLINICAL NEUROSCIENCE, 2015, 22 (09) :1382-1386

[3]

Morphometric analysis of the YESS and TESSYS techniques of percutaneous transforaminal endoscopic lumbar discectomy [J].

Gu Xin ;

He Shi-Sheng ;

Zhang Hai-Long .

CLINICAL ANATOMY, 2013, 26 (06) :728-734

[4]

Radiation Exposure to the Surgeon During Percutaneous Endoscopic Lumbar Discectomy A Prospective Study [J].

Ahn, Yong ;

Kim, Chang-Ho ;

Lee, June Ho ;

Lee, Sang-Ho ;

Kim, Jin-Sung .

SPINE, 2013, 38 (07) :617-625

[5]

Postoperative spondylodiscitis following transforaminal percutaneous endoscopic lumbar discectomy: clinical characteristics and preventive strategies [J].

Ahn, Yong ;

Lee, Sang-Ho .

BRITISH JOURNAL OF NEUROSURGERY, 2012, 26 (04) :482-486

[6]

Transforaminal endoscopic surgery for symptomatic lumbar disc herniations: a systematic review of the literature [J].

Nellensteijn, Jorm ;

Ostelo, Raymond ;

Bartels, Ronald ;

Peul, Wilco ;

van Royen, Barend ;

van Tulder, Maurits .

EUROPEAN SPINE JOURNAL, 2010, 19 (02) :181-204

[7]

Higher risk of dural tears and recurrent herniation with lumbar micro-endoscopic discectomy [J].

Teli, Marco ;

Lovi, Alessio ;

Brayda-Bruno, Marco ;

Zagra, Antonino ;

Corriero, Andrea ;

Giudici, Fabrizio ;

Minoia, Leone .

EUROPEAN SPINE JOURNAL, 2010, 19 (03) :443-450

[8]

Surgical interventions for lumbar disc prolapse - Updated cochrane review [J].

Gibson, J. N. Alastair ;

Waddell, Gordon .

SPINE, 2007, 32 (16) :1735-1747

[9]

Percutaneous endoscopic discectomy for far lateral lumbar disc herniations: Prospective study and outcome of 66 patients [J].

Sasani, M. ;

Ozer, A. F. ;

Oktenoglu, T. ;

Canbulat, N. ;

Sarioglu, A. C. .

MINIMALLY INVASIVE NEUROSURGERY, 2007, 50 (02) :91-97

[10]

Percutaneous endoscopic discectomy for extraforaminal lumbar disc herniations - Extraforaminal targeted fragmentectomy technique using working channel endoscope [J].

Choi, Gun ;

Lee, Sang-Ho ;

Bhanot, Arun ;

Raiturker, Pradyumna Pai ;

Chae, Yu Sik .

SPINE, 2007, 32 (02) :E93-E99