纤维环缝合器临床应用进展

Advances in clinical application of the annulus fibrosus suture device

腰椎间盘突出症(lumbar intervertebral disc herniation, LDH)是最常见的脊柱疾病之一,可引起神经根压迫而导致腰腿痛。腰椎间盘摘除术是目前最有效的外科干预手段。然而部分术后患者会发生椎间盘再突出的风险,腰椎间盘切除术后,纤维环破裂、缺损,这是术后复发的高危因素。随着纤维环缝合技术的提出,纤维环缝合器应运而生,通过使用它进行纤维环缝合,能有效降低术后椎间盘突出复发风险,其操作简单、方便、快捷、安全,术后能维持纤维环的生物力学完整性。本文将介绍纤维环缝合器在临床上使用进程及未来展望,旨在对医疗工作者提供一定的参考。

Lumbar intervertebral disc herniation(LDH) is one of the most common spinal diseases, which leads low back and leg pain due to nerve root compression. Discectomy is currently the most effective surgical intervention. However, some postoperative patients are suffering from the pain caused by recurrent LDH, which also brings a huge socioeconomic burden. After lumbar intervertebral disc discectomy, the rupture and defect of the annulus fibrosus is a high risk factor for postoperative recurrence. In order to reduce the postoperative recurrence rate, more effective and safe treatment options need to be further explored. With the advancement of the technique, the annulus fibrosus stapler has been developed. The annulus fibrosus suture might effectively reduce the risk of postoperative recurrence. Its operation is simple, convenient, fast and safe to maintain the biomechanical integrity of annulus fibrosus after discectomy. This article will introduce the current clinical usage and future prospects of the annulus fibrosus stapler, aiming to provide a certain reference for clinicians.