腰椎完全内镜经椎板间入路技术的临床教程

doi:10.6040/j.issn.1671-7554.0.2019.140

摘要/Abstract

摘要： 近年来,经皮脊柱内镜技术得到迅速发展,应用范围越来越广。完全内镜经椎板间入路技术避免了椎间孔入路技术的一些不足,逐渐引起关注和研究,但目前尚缺乏统一的应用规范。如何正确利用经椎板间入路技术,合理把握手术适应证,熟练掌握其操作技巧,避免手术并发症和减少术后复发,进而提高临床疗效,已成为术者必须面对的关键问题。基于十多年完全内镜经腰椎板间入路技术临床实践的经验,详细介绍其发展历程、适应证与禁忌证、手术技巧、并发症及防治,以期进一步推动该技术的发展。

关键词: 腰椎, 完全内镜, 经椎板间入路, 微创技术, 适应证, 并发症

Abstract: In recent years, spinal endoscopic techniques have been rapidly developed and widely used. Full-endoscopic interlaminar approach can avoid the shortcomings of the transforaminal approach; however, it has no standard application protocol yet. Therefore, surgeons are now facing many problems, such as how to apply FEID techniques correctly, what are the surgical indications, how to perform the surgical procedure skillfully, how to avoid complications and reduce postoperative recurrence so as to improve clinical efficacy, and so on. Based on more than ten years' clinical application of FEID techniques, the author will introduce the history of development, surgical indications and contraindications, surgical techniques, and prevention of complications, hopefully to further develop the techniques.

Key words: Lumbar spine, Full-endoscope, Interlaminar approach, Minimally invasive techniques, Indications, Complications

中图分类号:

R681.5

王冰. 腰椎完全内镜经椎板间入路技术的临床教程[J]. 山东大学学报 (医学版), 2019, 57(5): 23-29.

WANG Bing. A clinical guideline of full-endoscopic lumbar interlaminar approach techniques[J]. Journal of Shandong University (Health Sciences), 2019, 57(5): 23-29.

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