Leu H
Bethania Spine Base, Privatklinikum Bethanien, Toblerstr. 51, CH-8044, Zürich, Schweiz.
Orthopade. 2011 Feb;40(2):126-9. doi: 10.1007/s00132-010-1708-z.
Since the introduction of percutaneous nucleotomy two lines of development have been followed. On the one hand the blindly driven intradiscal tissue active methods and on the other hand endoscopically controlled minimally invasive tissue methods. The first group diminished the acceptance of intradiscal applications due to few reproducible results. Due to high resolution endoscopy with coaxial endoscopes, the second group developed into effective minimally invasive forms of surgery with well defined indications and reproducible results and challenges conventional techniques in the range of intradiscal and extradiscal indications.
自从经皮髓核切除术问世以来，出现了两条发展路线。一方面是盲目驱动的椎间盘内组织活性方法，另一方面是内镜控制的微创组织方法。第一组由于可重复性结果较少而降低了椎间盘内应用的接受度。由于同轴内窥镜的高分辨率内窥镜检查，第二组发展成为具有明确适应症和可重复性结果的有效微创手术形式，并在椎间盘内和椎间盘外适应症范围内对传统技术构成挑战。
