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

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