经皮侧后路腰椎间孔成形与经椎间孔完全内镜下腰椎间盘摘除术
李振宙
侯树勋
1.解放军总医院第一附属医院骨科,北京,1000482.解放军总医院第一附属医院骨科,北京,100048
摘要：Conventional open discectomy is a standard surgical method for lumbar disc herniation. But iatrogenic injury to paraspinal muscle and facet joint may cause postoperative chronic low back pain and segamental instability, which can lead to reoccurence of lumbar disc herniation. Epidural scarr fomation arised from flavum resection in open discectomy is inavoidable with 10%of it leading to failed back sugery syndrome. Transforaminal endoscopic discectomy can be performed without iatrogenic injury to paraspinal muscle, facet joint and flavum ligament. Foraminoplasty is a technique that enlarge the low part of intervertebral foramen with different tools so that working channel and endoscope can be introduced into epidural space anterior to dura sac where protruted disc tissue can be targeted resected and nerve root complete decompressed. It can be treated as an alternative surgical technique for lumbar disc herniation.
机标关键词：经皮侧后路经椎间孔入路成形内镜下腰椎间盘摘除术lumbar disc herniation高位腰椎间盘突出症
分类号：Th776.1,R681.5(工业技术)
论文发表日期：2014-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 621-625 )
英文信息