摘要
随着经皮内镜椎间盘切除术（percutaneousendoscopiclumbardiscectomy，PELD）技术的不断改进与发展，使现代PELD手术能够为外科医生提供优质的图像和清晰的脊柱解剖结构，并帮助医生分析导致患者疼痛的病理原因；通过诊断性和治疗性的PELD腰椎微创手术，使我们对椎间盘源性疾病有了进一步的了解和认识，
Percutaneous endoscopic lumbar discectomy （ PELD ） technique provides high-quality images and clear spine anatomical structure to help surgeons analyze the pathological reason of pain in patients. For minimally invasive surgical treatment of lumbar disc herniation, PELD technique should be recommended except for some special cases. For a good surgeon of minimally invasive spine technique, he should not only understand and master new techniques of minimally invasive spinal surgery, but also the proper selection and application to achieve a multiplier effect. In the choosing of PELD or MED technique, every surgeon should make decision based on the technical level and the condition of medical equipments in the hospital. The most common risk factors of PELD are postoperative intervertebral infection, nerve root injury, dural tear, spinal bleeding and scar adhesions. Although these complications may occur in any spinal surgery, but the occurrence rate of these complications in PELD is the lowest comparing with other minimally invasive spine techniques.
出处
《中国骨与关节杂志》
CAS
2013年第4期181-184,共4页
Chinese Journal of Bone and Joint
关键词
椎间孔
认识经
椎间盘切除术
外科医生
微创手术
椎间盘源性
经皮内镜
解剖结构
Intervertebral disk displacement
Lumbar vertebrae
Surgical procedure, minimally invasive
Intervetebral disc degeneration
Diskectomy, percutaneous
Endoscopes
