经皮内镜术治疗多节段腰椎间盘突出症的现状

Current state of percutaneous endoscopic lumbar discectomy for multi-segmental lumbar disc herniation

多节段腰椎间盘突出症(multi-segmental lumbar disc herniation, msLDH)是2或3个以上节段腰椎间盘退变,引起多个神经根症状,最佳治疗方式争议较大。最近,经皮内镜腰椎间盘摘除术(percutaneous endoscopic lumbar discectomy, PELD)用于治疗msLDH,但其适应证的选择及疗效尚不明确。本文对PELD治疗msLDH的临床文献进行总结,为临床治疗提供参考。

Multi-segmental lumbar disc herniation(msLDH) is a degenerative disease of more than two or three levels of lumbar disc,involving multiple nerve roots, and the best treatment for it remains controversial. Recently, percutaneous endoscopic lumbar discectomy(PELD) has been used for the treatment of msLDH, but the indications and efficacy of PELD remain unclear. In this paper, the clinical literature on PELD used in the treatment of msLDH was summarized to provide a reference for the clinician.