经皮内镜下治疗青少年腰椎间盘突出症的研究进展

Recent research on percutaneous endoscopic treatment of lumbar disc herniation in adolescents

腰椎间盘突出症(LDH)是成人中最常见的退行性脊柱疾病之一,而在青少年中比较少见。发病年龄<21岁被定义为青少年腰椎间盘突出症(ALDH),ALDH发病率仅为1%~5%。但随着生活节奏的加快,ALDH的发病率呈日渐增加趋势。近年来内镜技术飞速发展,已广泛应用于脊柱外科手术中。ALDH的经皮内镜技术已取得良好的效果。与开放式手术相比,经皮内镜治疗可以保留更多的正常腰椎结构,如韧带、肌肉、椎板及小关节,最大限度地减少对青春期生长的影响。本文就ALDH特点及其内镜治疗为切入点作一综述。

Lumbar disc herniation(LDH)is one of the most common degenerative spinal diseases in adults and less common in adolescents.The age of onset is less than 21 years old and is defined as adolescent lumbar disc herniation(ALDH).The incidence of ALDH is only 1%-5%.However,with the accelerated pace of life,the incidence of ALDH is increasing.In recent years,the rapid development of endoscopic technology has been widely used in spinal surgery.ALDH’s percutaneous endoscopic technique has achieved good results.Compared with open surgery,percutaneous endoscopic treatment can preserve more normal lumbar structures,such as ligaments,muscles,lamina and facets,minimizing the impact on pubertal growth.This article reviews the characteristics of ALDH and endoscopic treatment as an entry point.