全内镜手术治疗颈椎间盘突出症的技术现状

Technical status of total endoscopic surgery for cervical disc herniation

全内镜下治疗颈椎间盘突出症主要分为前路及后路手术,作为脊柱微创新技术,在术中影像及定位系统的帮助下,通过建立前路或者后路微创手术通道来达到病变部位,利用全内镜下手术器械进行操作从而直接取出颈椎间盘突出部分,解除其对神经脊髓的压迫。这种治疗具有手术创伤小、脊柱稳定性损失少、减少脊柱融合并发症及肌肉韧带不受影响等优点,受到脊柱外科医师的广泛认可,随着脊柱内镜微创技术的进步,全内镜下治疗颈椎间盘突出症这种方法将成为一项安全有效的脊柱微创技术。

Total endoscopic treatment of cervical disc herniation is mainly divided into anterior and posterior surgery, as a spine micro-innovation technology, with the help of intraoperative imaging and positioning system. By establishing anterior or posterior minimally invasive surgical pathways to reach the lesion site, the protrusion of cervical intervertebral disc can be removed directly by using endoscopic surgical instruments to relieve the pressure on the nerve and spinal cord. This treatment has the advantages of less surgical trauma, less loss of spinal stability, less complications of spinal fusion and no influence on muscular ligaments. It has been widely recognized by spinal surgeons. With the progress of endoscopic minimally invasive technique, total endoscopic treatment of cervical disc herniation will become a safe and effective minimally invasive technique for spine.