全内镜下微创治疗颈神经根管狭窄的研究进展

Research progress in minimally invasive treatment of cervical nerve root canal stenosis under total endoscope

目的综述全内镜下微创治疗颈神经根管狭窄(cervical nerve root canal stenosis,CNRCS)的研究进展。方法广泛查阅近年国内外相关文献,总结全内镜下微创治疗CNRCS的研究历史、现状、进展以及优缺点。结果随着近几年脊柱外科全内镜微创技术的不断发展,CNRCS手术治疗方法也不断革新。与传统开放手术比较,全内镜下微创治疗CNRCS在获得较好临床疗效的同时最大限度保留了术后颈段稳定性,减少了对颈椎活动度的影响以及相关手术并发症的发生,是一种有效的微创技术。结论全内镜下微创治疗CNRCS取得了一定效果,仍需完善,但其利远大于弊,有望成为治疗CNRCS不可或缺的手段之一。

Objective To review the research progress of total endoscopic minimally invasive technique in treating cervical nerve root canal stenosis(CNRCS).Methods The related literature at home and abroad was extensively reviewed.The research history,current situation,research progress,advantages and disadvantages of minimally invasive treatment of CNRCS under total endoscope were summarized.Results In recent years,with the continuous development of minimally invasive technique of total endoscope in spine surgery,the surgical treatment methods are also constantly innovated.Compared with the traditional open surgery,minimally invasive treatment of CNRCS under total endoscope can obtain better effectiveness,keep the stability of the cervical segment to the maximum extent,reduce the impact on the activity of the cervical spine and the occurrence of related surgical complications,which is an effective minimally invasive technology.Conclusion The minimally invasive treatment of CNRCS under total endoscope has achieved some results,which is expected to be one of the indispensable means to treat CNRCS,but it still needs to be improved.