摘要
与传统开放性手术相比,应用经皮椎间孔镜技术(percutaneous transforaminal endoscopic discectomy,PT-ED)治疗腰椎间盘突出症具有手术创伤小、对脊柱稳定性影响小、恢复较快等特点。但是由于突出物位置的不同、病变节段高低或髂嵴阻挡等原因,PTED经椎间孔入路的适应证相对狭窄,尚不能取代开放性手术。新入路的开发及器械的改良已成为PTED目前研究的热点及未来发展方向。近年来,经椎板间隙入路和经髂骨入路的出现使得PTED的适应证得到了极大扩展。然而,操作不规范、对适应证或手术入路选择失当仍然是导致PTED手术失败的主要原因,因此本文就PTED的适应证、3种不同入路的手术方法、临床疗效和并发症进行综述。
Compared with open surgery,percutaneous transforaminal endoscopic discectomy（PTED）for lumbar disc herniation（LDH） has advantages of minamilly invasive,little impact on stability of spine and rapid recovery.However,PTED by transforaminal approach has relatively limited indications and can not completely replace open surgery,due to different location of migrated herniated fragment,the level of pathological segment or presence of a high iliac crest.Development of new approach and ancillary equipment have become the focus and future direction of PTED.In recent years,interlaminar and transiliac approach extended the indications of PTED greatly.However,not standard manipulation,improper selection of indications or surgical approach has been attributed to the main reason for failure in PTED surgery.In view of this,the paper summaries indications,different approaches and methods,clinical efficacy and complications of PTED.
出处
《中国骨伤》
CAS
2012年第12期1057-1060,共4页
China Journal of Orthopaedics and Traumatology
关键词
腰椎
椎间盘移位
综述文献
Lumbar vertebrae
Intervertebral disk displacement
Review literature
