经皮椎间孔镜治疗腰椎间盘突出症的最新进展
王伟;李罡;单周通;张延辉;郑科文;冯晨;孙革;王恒;王子健;
摘要(Abstract):
目的总结近几年椎间孔的最新术式及其适应症;方法以腰椎间盘突出症、椎间孔镜、治疗、适应症、Lumbar disc herniation、endoscopic为关键词分别在Pubmed、CNKI上查阅2003-2017年有关文献,分别对其最佳适应症进行归纳总结;结果 YESS术式最佳适应症为包容性椎间盘突出、后纵韧带下型椎间盘突出;椎间孔内和椎间孔外的极外侧型椎间盘突出。TESSYS术式最佳适应症是突出于椎管内的腰椎间盘突出并应用于伴有神经根管狭窄的腰椎间盘突出。BEIS术式可用于中老年人伴有侧隐窝狭窄的腰椎间盘突出。靶向穿刺主要适用于包容性及突出型腰椎间盘突出症;结论每种术式选择合适的适应症应引起每位操作者的注意。
关键词(KeyWords): 腰椎间盘突出症;椎间孔镜;治疗;适应症;进展
基金项目(Foundation): 牡丹江医学院大学生科研项目(201637)
作者(Authors): 王伟;李罡;单周通;张延辉;郑科文;冯晨;孙革;王恒;王子健;
DOI: 10.13799/j.cnki.mdjyxyxb.2018.02.035
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