开放期刊系统

经皮椎间孔镜技术治疗腰椎管狭窄症的治疗进展

傲麟 袁(承德医学院附属医院,中国)
晏齐 刘(承德医学院附属医院,中国)
海鹏 顾(承德医学院附属医院,中国)
永胜 安(承德医学院附属医院,中国)

摘要

腰椎管狭窄症(Lumbar Spinal Stenosis, LSS)是一种常见的退行性疾病,通常是由于腰椎退变、骨质增生、纤维韧带组织增厚,导致椎管或神经根管狭窄,直接或间接刺激、压迫神经根而引起的一系列临床症状,患者经常表现为间歇性神经源性跛行。随着中国人口老龄化的程度逐渐加重,其发病率也呈逐年上涨的趋势。当病发展到一定程度时,通常需要外科手术干预,及时改善患者的生活质量。根据其手术方式可以分为椎管减压术、腰椎融合术及加装棘突间固定装置。传统的后路切除椎板减压椎间融合手术是常见的手术方式,但此术式对脊柱后方肌肉损伤较大,容易导致术后腰椎综合征、腰椎不稳、硬膜外瘢痕等相关并发症。随着技术的发展,经皮内镜技术逐渐应用在腰椎管狭窄症的治疗。因其损伤小、术后恢复快而被患者和医师所推崇。论文主要对使用经皮椎间孔镜技术治疗腰椎管狭窄的现状进行综述。

关键词

腰椎管狭窄;经皮椎间孔镜;经椎间孔入路;经椎板间入路

全文:

PDF

参考

Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis[J]. N Engl Med, 2008,358(8):818-825.

Yu L, Wen JK, Wang S, et al. Removal of calcified lumbar disc herniation with endoscopic-matched ultrasonic osteotome—Our preliminary experience[J]. Br Neurosurg, 2020,34(1):80-85.

Nellensteijn J, Ostelo R, Bartels R, et al. Transforaminal endoscopic surgery for symptomatic lumbar disc herniations: a systematic review of the literature[J]. Eur Spine,2010,19(2):181-204.

Wang H, Zhou T, Gu Y, et al. Evaluation of efficacy and safety of percutaneous transforaminal endoscopic surgery (PTES) for surgical treatment of calcified lumbar disc herniation: a retrospective cohort study of 101 patients[J]. BMC Musculoskelet Disord,2021,22(1):65.

周跃.正确认识经皮椎间孔镜技术[J].中国骨与关节杂志,2013, 2(4):181-184.

Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine: a preliminary report[J]. Clin Orthop Relat Res,1983,174(174):127-132.

Kambin P,Sampson S.Posterolateral percutaneous suction-excision of herniated lumbar interverbral discs:report of inteim results[J]. Clin Onhop ReIat Res,1986(207):37-43.

Kalllbin P. Arthroscopic microdiskectomy[J]. Mt J Med,1991, 58(2):159-164.

Yeung AT. Minimally Invasive Disc Surgery with the Yeung Endoscopic Spine System (YESS)[J]. Surg Technol Int,1999(8):

-277.

Hoogland T, Schubert M, Miklitz B, Ramirez A. Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases[J].Spine (Phila Pa 1976), 2006, 31(24):E890-7.

Lauryssen C. Technical advances in minimally invasive surgery: direct decompression for lumbar spinal stenosis[J]. Spine (Phila Pa 1976),2010,35(S26):287-293.

Ahn Y, Oh HK, Kim H, et al. Percutaneous endoscopic lumbar foraminotomy: an advanced surgical technique and clinical outcomes[J]. Neurosurgery,2014,75(2):124-133.

Zhu Y, Zhao Y, Fan G, et al. Comparison of 3 Anesthetic Methods for Percutaneous Transforaminal Endoscopic Discectomy: A Prospective Study[J]. Pain Physician,2018,21(4):347-353.

Shin SH, Bae JS, Lee SH, et al. Transforaminal Endoscopic Decompression for Lumbar Spinal Stenosis: A Novel Surgical Technique and Clinical Outcomes[J]. World Neurosurg, 2018(114):873-882.

Li XF, Jin LY, Lv ZD, et al. Endoscopic Ventral Decompression for Spinal Stenosis with Degenerative Spondylolisthesis by Partially Removing Posterosuperior Margin Underneath the Slipping Vertebral Body: Technical Note and Outcome Evaluation[J]. World Neurosurg, 2019(126):517-525.

Zhang JJ, Cui HP, Ding Y, et al. Endoscopic Foraminoplasty and Neuro - Ventral Decom- pression for the Treatment of Lumbar Disc Herniation Combining with Lateral Recess Ste- nosis[J]. Journal of Spine,2018,7(2):412-417.

白一冰,李嵩鹏,王力文,等.改良TESSYS技术治疗腰椎神经根管狭窄症[J].颈腰痛杂志,2015,36(1):16-19.

Macnab I. Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients[J]. Bone Joint Surg Am,1971,53(5):891-903.

Rampersaud YR, Fisher C, Yee A, et al. Health-related quality of life following decompression compared to decompression and fusion for degenerative lumbar spondylolisthesis: a Canadian multicentre study[J]. Can Surg, 2014,57(4):126-133.

蒋帅,洪鑫.经皮椎间孔镜治疗腰椎管狭窄症的研究进展[Z].

Wu PH, Kim HS, Jang IT. A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery[J]. Neurospine,2020,17 (Suppl 1):20-33.

Birkenmaier C, Komp M, Leu HF, et al. The current state of endoscopic disc surgery: review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures[J].Pain Physician,2013,16(4):335-344.

Bao BX, Zhou JW, Yu PF, et al. Transforaminal Endoscopic Discectomy and Foraminoplasty for Treating Central Lumbar Stenosis[J]. Orthop Surg,2019,11(6):1093-1100.

Choi JW, Lee JK, Moon KS, et al. Transdural approach for calcified central disc herniations of the upper lumbar spine. Technical note [J].Neurosurg Spine,2007,7(3):370.

Ruetten S, Komp M, Godolias G. A New full-endoscopic technique for the interlaminar operation of lumbar disc herniations using 6-mm

endoscopes: prospective 2-year results of 331 patients[J]. Minim Invasive Neurosurg, 2006,49(2):80-87.

Choi G, Lee SH, Raiturker PP, et al. Percutaneous endoscopic interlaminar discectomy for intracanalicular disc herniations at L5-S1 using a rigid working channel endoscope[J]. Neurosurgery,2006,58(Sl):59-68.

Choi KC, Kim JS, Ryu KS, et al. Percutaneous endoscopic lumbar discectomy for L5-S1 disc herniation: transforaminal versus interlaminar approach[J]. Pain Physician,2013,16(6):547-567.

Choi G, Lee SH, Lokhande P, et al. Percutaneous endoscopic approach for highly migrated intracanal disc herniations by foraminoplastic technique using rigid working channel endoscope[J]. Spine (Phila Pa 1976), 2008,33(15):508-515.

Li Y W, Wang B, Wang S, et al. Full- endoscopic decom- pression for lumbar lateral recess stenosis via an interlaminar approach versus a transforaminal approach[J]. World Neuro-surg,2019(128):632-638.

Birkenmaier C, Komp M, Leu HF, et al. The current state of endoscopic disc surgery: review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures[J]. Pain Physician,2013,16(4):335-344.

Ruetten S, Komp M, Merk H, et al. Use of newly developed instruments and endoscopes: full-endoscopic resection of lumbar disc herniations via the interlaminar and lateral transforaminal approach[J]. Neurosurg Spine,2007,6(6):521-530.

Kim HS, Adsul N, Ju YS, et al. Full Endoscopic Lumbar Discectomy using the Calcification Floating Technique for Symptomatic Partially Calcified Lumbar Herniated Nucleus Pulposus[J]. World Neurosurg, 2018(119):500-505.



DOI: http://dx.doi.org/10.12345/yzlcyxzz.v5i2.11292

Refbacks

  • 当前没有refback。
版权所有(c)2022 傲麟 袁, 晏齐 刘, 海鹏 顾, 永胜 安 Creative Commons License
此作品已接受知识共享署名-非商业性使用 4.0国际许可协议的许可。
  • :+65-62233778 QQ:2249355960 :contact@s-p.sg