经皮脊柱内窥镜下腰椎间盘切除术及镜下治疗复杂移位型腰椎间盘突出症的研究进展

Percutaneous endoscopic lumbar discectomy and research progress of endoscopic treatment of complex migrated lumbar disc herniation

经皮脊柱内窥镜下腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)通常指经皮脊柱内窥镜下经椎间孔椎间盘切除术(percutaneous endoscopic transforaminal discectomy,PETD)和经皮脊柱内窥镜下经椎板间椎间盘切除术(percutaneous endoscopic interlaminar discectomy,PEID)。与常规开放椎间盘切除术相比,PELD术式治疗腰椎间盘突出症(lumbar disc herniation,LDH)具有恢复快、住院时间短、手术效果满意等优点,对正常生理组织结构和脊柱稳定性影响小,逐渐成为临床主流术式。随着社会人口结构老龄化,LDH呈现发病率增高的趋势,并严重影响了患者的生存质量,造成了一定的社会负担。本文旨在通过介绍PELD技术,进一步对PELD治疗复杂移位型LDH展开综述。

Percutaneous endoscopic lumbar discectomy(PELD)usually refers to percutaneous endoscopic transforaminal discectomy(PETD)and percutaneous endoscopic interlaminar discectomy(PEID).Compared with conventional open discectomy,the treatment of lumbar disc herniation(LDH)with PELD has the advantages of rapid recovery,short hospital stay,satisfactory surgical results,etc,and has little impact on normal physiological tissue structure and spinal stability,so PELD has gradually become the mainstream of clinical surgery.With the aging of the social population structure,the incidence rate of LDH has increased,which has seriously affected the quality of life of patients and caused a certain social burden.This article aims to introduce PELD technology and further summarize the methods of PELD in the treatment of complex migrated lumbar disc herniation.