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经皮椎间孔镜下腰椎间盘切除术治疗腰椎间盘突出症

Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disk Herniation.

作者信息

Gadjradj Pravesh S, Harhangi Biswadjiet S

机构信息

Department of Neurosurgery, Erasmus MC: University Medical Centre Rotterdam, Rotterdam, The Netherlands.

出版信息

Clin Spine Surg. 2016 Nov;29(9):368-371. doi: 10.1097/BSD.0000000000000366.

Abstract

Percutaneous transforaminal endoscopic discectomy (PTED) is a minimally invasive technique to treat lumbar disk herniation from a lateral approach. Performed under local anesthesia, the incision size for PTED is around 8 mm with no paraspinal muscle cutting or detachment from their insertion. PTED has been associated with less blood loss, faster rehabilitation, and less scarring of tissue than conventional open microdiscectomy. High-quality randomized controlled trials comparing PTED with open microdiscectomy have not been conducted yet. However, PTED has been proven to be an effective technique allowing patients to return home only 2 hours after surgery. By the means of this article and video (Supplemental Digital Content 1, http://links.lww.com/CLINSPINE/A1), we would like to show the spine surgeon the PTED technique for the treatment of a single-level lumbar disk herniation.

摘要

经皮椎间孔内镜下椎间盘切除术(PTED)是一种从侧方入路治疗腰椎间盘突出症的微创技术。该手术在局部麻醉下进行,PTED的切口大小约为8毫米,不切断椎旁肌或使其与附着点分离。与传统的开放式显微椎间盘切除术相比,PTED的出血量更少、康复更快、组织瘢痕形成更少。目前尚未进行比较PTED与开放式显微椎间盘切除术的高质量随机对照试验。然而,PTED已被证明是一种有效的技术,患者术后仅2小时即可回家。通过本文及视频(补充数字内容1,http://links.lww.com/CLINSPINE/A1),我们希望向脊柱外科医生展示治疗单节段腰椎间盘突出症的PTED技术。

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