因病施治,稳步发展椎间孔镜手术

Treatment based on illness, steadily develop percutaneous transforaminal endoscopic surgery

目前椎间孔镜手术在全国蓬勃发展,说明脊柱外科已进入微创时代,但必须清醒地认识到其学习曲线和手术难点,以安全有效为前提,根据患者具体病情需要采取最便捷有效的措施,避免盲目追求新技术和高难度技术,避免扩大手术适应证和夸大疗效。术者必须具备扎实的脊柱外科功底并进行认真规范化的学习培训,制定合理的准入和培训制度,才能少走弯路、缩短学习曲线,使椎间孔镜等微创技术健康平稳地发展。

At present,percutaneous transforaminal endoscopic discectomy(PTED)has been rapidly developed in ourcountry,showing that spine surgery has entered the era of the minimally invasive spine surgery,but we must clearlyrecognize the learning curve and the difficulties in the operation.According to the specific needs of patients,safe andeffective should be premised,and take the most convenient and effective measures,avoid the blind pursuit of new technologyand high technical difficulty,avoid increasing the surgical indications and avoid exaggeration effect.We must have a solidfoundation of spinal surgery and seriously standardized training.We must establish reasonable access and training system,which can avoid detours,shorten the learning curve,and let the transforaminal endoscopic minimally invasive techniqueshave a healthy and stable development.