经皮内镜椎板间入路技术治疗腰椎间盘突出症

Percutaneous endosopic interlaminar discetomy for lumbar disc herniation

传统的椎板间小开窗髓核摘除术是治疗腰椎间盘突出症的经典术式。近年来经皮内镜椎板间入路腰椎间盘摘除术(percutaneous endosopic interlaminar discetomy,PEID)逐渐应用于临床并取得了较为满意的疗效,在最近5年中,得益于新材料、新技术的进步,该技术的适应症进一步扩大,成为治疗复杂腰椎间盘突出症的一项有效的微创技术。与传统开放手术相比,PEID大大降低了因手术对患者带来的创伤和并发症,是开放手术和经皮内镜椎间孔入路腰椎间盘突出摘除术的一种有效补充。在阅读大量文献的基础上,本文就PEID治疗腰椎间盘突出症的研究现状及优缺点作一概述。

The traditional interlaminal small window discectomy is a classic surgical treatment of lumbar disc herniation. Percutaneous endosopic interlaminar discetomy（ PEID） is gradually applied to the clinical and achieved satisfactory effects. In the last 5 years,owing to the development of new materials and new technology,the technology has became an effective and minimally invasive technique for the treatment of complicated lumbar disc herniation. Compared with traditional open surgery,PEID reduces the trauma and complications caused by surgery greatly,and PEID is an effective complement to open surgery and percutaneous endoscopic lumbar disc herniation. On the basis of reading a lot of literatures,this paper summarizes the research status,advantages and disadvantages of PEID in the treatment of lumbar disc herniation.