腰椎间盘突出症的椎间孔镜治疗

Intervertebral Foramen Endoscope in the Treatment of Lumbar Disc Herniation

开放手术治疗腰椎间盘突出症虽然疗效确切,但对腰部软组织及脊柱附属结构破坏较大,脊柱正常载荷传导及运动功能的紊乱,加速邻近节段退变,从而影响手术的远期疗效。随着外科技术及器械的发展,微创治疗成为治疗腰椎间盘突出症的重要组成部分,其具有创伤小,恢复快,并发症少等优点。该文将目前主流微创技术的临床应用现状进行归纳总结。

Although the open surgical treatment of lumbar disc herniation is certainly effective, it may largely damage the soft tissue of lumbar region and the subsidiary structure of spine, which break off the conduct and motor function and accelerate the degeneration of adjacent segments, and affect the long-term efficacy. With the development of surgical techniques and instruments, minimally invasive treatment has become an important treatment of lumbar disc herniation, which has less trauma, quicker recovery and fewer complications. Here is to make a review of the clinical application of the present principal minimally invasive techniaues.