严格掌握经皮脊柱内镜技术的手术指征
杨惠林
孟斌
吴凯伦
1.苏州大学附属第一医院, 江苏,2150062.苏州大学附属第一医院, 江苏,2150063.苏州大学附属第一医院, 江苏,215006
摘要：Percutaneous endoscopic spine surgery differs from other minimally invasive spinal techniques because of use of the spinal endoscope. With the development and improvement of endoscopic optical technology, endoscopic surgical techniques and instrumentation, central, paracentral, foraminal and far lateral lumbar disc herniation can now be treated by endoscopic techniques. Endoscopic systems are also used for posterior interlaminar lumbar decompression, anterior and posterior cervical discectomy. Some unilevel lumbar stenosis may be treated by the endoscopic techniques as well. Although the surgical indications for endoscopic techniques are evolving, there are many potential complications, such as nerve root injury, durotomy, infection, retro-peritoneal cavity injury, cauda equine injury, great vessel injury, muscular hematoma, re-herniation, piriformis syndrome, and/or epidural hematoma. So, the endoscopic spine surgery can only be practiced after the completion of learning curve which could be improved through training, mentorship and clinic surgical experience. Surgical training, including didactic lectures, hands on cadaveric training, and surgical observation, should all be essential for surgical education and instruction. Appropriate preoperative planning and strictly controlled indications of percutaneous endoscopic spine surgery are necessary and important for optimal outcomes.
关键词：外科手术微创性内窥镜颈椎腰椎椎间盘移位椎管狭窄
分类号：R618.5(外科手术学)R616.5(外科手术学)
论文发表日期：2016-01-01
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：4( 321-324 )
英文信息