脊柱内镜手术命名和适应证拓展的思考

Reflections on nomenclature and expansion of surgical indications for endoscopic spinal surgery

随着内窥镜技术的发展成熟,以水介质、光学硬质内窥镜为代表的脊柱内镜系统被广泛应用于腰椎、颈椎和胸椎等多种脊柱疾病的治疗。脊柱内镜技术不仅展现出与传统开放手术或其他微创术式类似的临床效果,也因其微创、术后康复迅速等优势深受脊柱外科医师的青睐。但是,脊柱内镜技术的大规模应用也带来了诸如手术命名不规范、手术适应证不合理等问题。因此,本文将针对脊柱内镜术式的命名及手术适应证进行概述,以期为脊柱外科医师合理认识、应用脊柱内镜技术提供参考。

In recent years,with the development and maturity of endoscopic technique,endoscopic spinal surgery represented by water media and optical rigid endoscope has been widely used in the treatment of many disorders in the cervical,thoracic and lumbar spine.Endoscopic spinal surgery shows similar clinical effects as traditional open surgery or other minimally invasive procedures,and is favored by spinal surgeons due to its advantages of less trauma and rapid recovery after surgery.However,the large-scale application of endoscopic technique brings problems such as non-standard nomenclature and unreasonable indications.Therefore,this article will summarize the surgical nomenclature and indications of endoscopic spinal surgery,in order to provide a reference for spinal surgeons to understand and apply endoscopic technology reasonably.