经皮椎间孔镜技术在脊柱微创手术中应用的研究进展

doi:DOI:10.3760/cma.j.issn.2095-7041.2015.05.023

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摘要目的探讨经皮椎间孔镜技术在脊柱微创术中的应用进展。方法以椎间孔镜和脊柱、微创为关键词，检索2011年1月—2014年10月PubMed、CNKI、CBM数据库文献，并对相关文献进行分析总结。结果采用传统的开放手术治疗脊柱疾病临床效果确切，但手术创伤大、出血多，术后卧床时间长、脊柱稳定性下降，促使微创手术成为脊柱疾病治疗当前的研究方向。经皮椎间孔镜治疗脊柱疾病，特别是椎间盘突出症，技术成熟，手术安全、出血少，术后患者恢复快、对腰椎稳定性影响小。结论经皮椎间孔镜技术在脊柱微创术中对脊柱稳定性影响小，疗效确切。

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	黄炎
	孔雷
	孔荣
	李钟奇
	于洋
	马锐祥

关键词 ：脊柱疾病, 外科手术,微创性, 内窥镜, 椎间孔镜

Abstract：Objective To review the progress in the application of percutaneous transforaminal endoscopic in minimally invasive spine surgery.Methods To search the literatures using the keywords of percutaneous transforaminal endoscopic and spine, minimally invasive in the database of PubMed, CNKI, and CBM from January 2011 to October 2014, and then analyzed and summarized them.Results The traditional open surgery treatment of spinal disease experience, clinical effect is confirmed, but intraoperative trauma is heavy, bleeding too much and postoperative lying on bed for a long time. The drop in spinal stability factors lead to minimally invasive surgery for spinal diseases treatment of current research. Percutaneous transforaminal endoscopic technology treatment of spinal diseases, especially in intervertebral disc herniation, the technology mature, intraoperative safe, less bleeding, quicker recovery of patients, low influence on the stability of the lumbar spine.Conclusions The percutaneous transforaminal endoscopic technology in the minimally invasive spine surgery has little influence on the stability of the spine and curative effect in clinical application.

Key words： Spinal diseases Surgical procedures, Minimally invasive Endoscopes Percutaneous transforaminal endoscopic technongy

收稿日期: 2014-12-01

通讯作者: 黄炎, Email: huangyan1106@qq.com

引用本文:

黄炎，孔雷，孔荣，李钟奇，于洋，马锐祥. 经皮椎间孔镜技术在脊柱微创手术中应用的研究进展[J]. 中华解剖与临床杂志, 2015, 20(5): 469-472.
Huang Yan, Kong Lei, Kong Rong, Li Zhongqi, Yu Yang, Ma Ruixiang. Percutaneous transforaminal endoscopic technology in the development of minimally invasive spine surgery. Chinese Journal of Anatomy and Clinics, 2015, 20(5): 469-472.

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http://www.cjac.com.cn/CN/DOI:10.3760/cma.j.issn.2095-7041.2015.05.023 或 http://www.cjac.com.cn/CN/Y2015/V20/I5/469

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