[1]孙德舜,李庆斌,苏佰芳,等.经皮椎间孔镜技术在腰椎间盘突出症治疗中的应用进展[J].中医正骨,2015,27(06):29-32.
点击复制

经皮椎间孔镜技术在腰椎间盘突出症治疗中的应用进展()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年06期
页码:
29-32
栏目:
综述
出版日期:
2015-06-30

文章信息/Info

作者:
孙德舜李庆斌苏佰芳王洪泰
山东省章丘市中医医院,山东 章丘 250200
关键词:
椎间盘移位 腰椎 外科手术微创性 椎间孔镜 综述
摘要:
腰椎间盘突出症是骨伤科的常见病、多发病。多数患者可经非手术治疗达到临床治愈,但是经非手术治疗无效者需行手术 治疗。传统手术治疗该病的短期疗效确切,但具有创伤大、费用高、术后恢复慢、易复发等缺点。经皮椎间孔镜技术属微创技术 ,具有创伤小、出血量少、患者恢复快、术后并发症少等优点。本文简要介绍了经皮椎间孔镜技术的发展概况,并从适应证、操 作技巧、临床疗效、优点、并发症5个方面对经皮椎间孔镜技术在腰椎间盘突出症治疗中的应用进展进行了综述。

参考文献/References:

[1] 丁悦,贺石生.经皮穿刺椎间孔镜在腰椎病变中的应用进展[J].中国微创外科杂志,2011,11(8):749-750, 757.
[2] 周跃.腰椎微创减压、融合与经皮内固定技术的发展与展望[J].中国骨与关节外科,2012,5(2):95-99.
[3] Tzaan MC.Transforaminal percutaneous endoscopic lumbar discectomy[J].Chang Gung Med J,2007,30(3):226-234.
[4] Kim CH,Chung CK.Endoscopic interlaminar lumbar discectomy with splitting of the ligament flavum under visual control[J].J Spinal Disord Tech,2012,25(4):210-217.
[5] Hirano Y,Mizuno J,Takeda M,et al.Percutaneous endoscopic lumbar discectomy-early clinical experience [J].Neurol Med Chir(Tokyo),2012,52(9):625-630.
[6] 周跃,李长青,王建,等.椎间孔镜YESS与TESSYS技术治疗腰椎间盘突出症[J].中华骨科杂志,2010,30(3):225-231.
[7] 徐少克,童瑞年,童瑞龙.经皮穿刺内窥镜下手术治疗腰椎间盘疾患的疗效分析[J].中国脊柱脊髓杂志,2009,19(5):330-335.
[8] 郑文杰,周跃,王建,等.经皮椎间孔入路内镜下治疗极外侧型腰椎间盘突出症[J].中国骨与关节杂志,2013,2(4):194-198.
[9] 温冰涛,张西峰,王岩,等.经皮内窥镜治疗腰椎间盘突出症的并发症及其处理[J].中华外科杂志,2011,49(12):1091-1095.
[10] 古伟文,徐峰,蔡贤华,等.经皮椎间孔镜靶向穿刺技术治疗腰椎椎间盘突出症的疗效分析[J].脊柱外科杂志,2013,11 (3):149-153.
[11] 关家文,孙海涛,马宗雷,等.CT引导+内窥镜治疗腰椎间盘突出症的入路设计及应用[J].中国矫形外科杂志,2012,20 (11):994-997.
[12] 楚磊,晏铮剑,陈亮,等.不同体位下经皮椎间孔镜手术治疗腰椎间盘突出症的比较[J].中国脊柱脊髓杂志,2011,21(2):166 -167.
[13] Matsumoto M,Hasegawa T,Ito M,et al.Incidence of complications associated with spinal endoscopic surgery:nationwide survey in 2007 by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association[J].J Orthop Sci,2010,15(1):92-96.
[14] 闫家智,林欣,潘海涛,等.经皮椎间孔镜下治疗L5S1腰椎间盘突出症的手术入路选择[J].医学研究 杂志,2011,40(12):52-54.
[15] 董健文,戎利民,冯丰,等.经皮内镜椎间孔入路腰椎间盘髓核摘除术学习曲线及其影响因素[J].中国骨与关节杂志,2013,2 (4):204-210.
[16] Morgenstern R,Morgenstern C,Yeung AT.The learning curve in foraminal endoscopic discectomy:experience needed to achieve a 90% success rate[J].SAS J,2007,1(3):100-107.
[17] Cho JY,Lee SH,Lee HY.Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation:floating retraction technique[J].Minim Invasive Neurosurg,2011,54(5/6):214-218.
[18] 刘昊楠,林欣,闫家智,等.经皮椎间孔镜与显微镜下手术治疗腰椎间盘突出症近期疗效对比[J].中国骨与关节杂志,2013,1 (1):30-35.
[19] Nellensteijn J,Ostelo R,Barrels R,et al.Transforaminal endoscopic surgery for symptomatic lumbar disc hemiations:a systematic review of the literature[J].Eur Spine J,2010,19(2):181-204.
[20] 刘宝平,孙义忠,王峰宝,等.椎间孔镜与开窗治疗椎间盘突出症术后影像学分析[J].中国骨与关节损伤杂志,2012,27 (9):826-827.
[21] Ahn Y.Transforaminal percutaneous endoscopic lumbar discectomy:technical tips to prevent complications [J].Expert Rev Med Devices,2012,9(4):361-366.
[22] Carragee EJ,Spinnickie AO,Alamin TF,et al.A prospective controlled study of limited versus subtotal posterior discectomy:short-term outcomes in patients with herniated lumbar intervertebral discs and large posterior anular defect[J].Spine(Phila Pa 1976),2006,31(6):653-657.
[23] Ahn Y,Lee SH.Postoperative spondylodiscitis following transforaminal percutaneous endoscopic lumbar discectomy:clinical characteristics and preventive strategies[J].Br J Neurosurg,2012,26(4):482-486.
[24] Yeung AT,Tsou PM.Posterolateral endoscopic excision for lumbar disc herniation:Surgical technique,outcome,and complications in 307 consecutive cases[J].Spine(Phila Pa 1976),2002,27(7):722-731.
[25] 王东,聂远,蒋代国.椎间孔镜下射频消融治疗椎旁骨转移瘤患者顽固性疼痛的疗效观察[J].中华医学杂志,2013,93 (29):2321-2323.
[26] 曾顺福,王建,陆炎,等.单节段微创经椎间孔腰椎椎体间融合内固定治疗腰椎滑脱症的效果[J].中国脊柱脊髓杂 志,2011,21(5):399-403.

相似文献/References:

[1]邓红军.硫酸钙骨水泥椎体成形联合后路短节段椎弓根螺钉 内固定治疗创伤性胸腰椎骨折[J].中医正骨,2015,27(10):35.
[2]张莉,秦丹霞,张细姣.腹针治疗椎间盘源性腰痛[J].中医正骨,2015,27(10):38.
[3]吴青坡,孙国绍,王林杰.后路椎管减压联合腰椎椎弓根钉动态稳定装置内固定 治疗单节段腰椎退行性疾病[J].中医正骨,2015,27(10):42.
[4]郭小伟,梅伟,潘玉林,等.一期后路病灶清除纳米仿生骨椎体支撑体植骨融合 内固定治疗胸腰椎结核[J].中医正骨,2015,27(07):66.
[5]孙广江,崔海舰.络病理论指导下应用独活寄生汤加减治疗腰椎间盘突出症[J].中医正骨,2015,27(12):37.
 SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(独活寄生汤加减)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):37.
[6]阮朝阳,曾强华,朱群威.口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症 经皮椎间孔镜术后下肢残留神经症状[J].中医正骨,2015,27(12):71.
[7]陈冠军,陈扬,庄汝杰.可灌注骨水泥椎弓根螺钉系统 在老年腰椎疾患手术中的应用[J].中医正骨,2015,27(02):40.
[8]万宏波,马海燕,蒋云霞,等.口服益气化瘀汤联合功能锻炼治疗腰椎退行性疾病 术后残留腰腿痛的临床研究[J].中医正骨,2015,27(06):1.
 WAN Hongbo,MA Haiyan,JIANG Yunxia,et al.Clinical study on oral application of Yiqi Huayu Tang(益气化瘀汤)combined with functional exercise for the treatment of postoperative residual lumbocrural pain in patients with lumbar degenerative disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):1.
[9]贺振年,康信勇,徐洪伟,等.骨盆矢状位参数对退行性腰椎滑脱症的影响[J].中医正骨,2015,27(06):19.
 HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):19.
[10]李鹏,徐世涛,谭磊.椎旁肌间隙入路伤椎单侧植骨内固定治疗 单节段胸腰椎骨折[J].中医正骨,2015,27(06):43.
[11]徐帮杰,杨楠,白伟杰,等.坐位定点旋转整复法治疗腰椎间盘突出症的疗效观察[J].中医正骨,2015,27(11):17.
 XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):17.
[12]白春晓,贾育松,孙旗,等.中医药在腰椎间盘突出症围手术期应用的研究进展[J].中医正骨,2015,27(11):65.
[13]王少纯,周英杰.郭维淮教授运用活血益气通经汤治疗腰椎间盘突出症的经验[J].中医正骨,2015,27(11):75.
[14]苏洪,张雪林.患侧下肢牵引配合腰椎斜扳法治疗 极外侧型腰椎间盘突出症[J].中医正骨,2015,27(10):40.
[15]谢冬群,黄中梁,叶金丽.加强隔附子饼灸治疗肾阳虚型腰椎间盘突出症的 临床研究[J].中医正骨,2015,27(09):18.
 XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):18.
[16]沈海良,钱万锋,周骁栋.针刀松解联合局部封闭与口服中药治疗腰椎间盘突出症[J].中医正骨,2015,27(09):46.
[17]王仁灿,黄炎洪,潘伟江,等.45°肩踝悬吊牵引下撞击腰椎疗法治疗L5S1椎间盘突出症[J].中医正骨,2015,27(08):51.
[18]任博文,杨豪.口服桂葛萆薢汤加减配合功能锻炼治疗 寒湿型腰椎间盘突出症[J].中医正骨,2015,27(08):53.
[19]丁晓医,周子静.射频热凝联合臭氧注射治疗腰椎间盘突出症的护理[J].中医正骨,2015,27(12):81.
[20]仇湘中,蒋盛昶,张信成,等.红外热成像图在腰椎间盘突出症证候疗效评定中的应用[J].中医正骨,2015,27(02):17.
 QIU Xiangzhong,JIANG Shengchang,ZHANG Xincheng,et al.Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(06):17.

备注/Memo

备注/Memo:
2014-04-03收稿 2014-05-19修回
更新日期/Last Update: 2015-06-30