内镜下腰椎手术中的医源性硬脊膜撕裂：全内镜下硬脊膜缝合修复术（Youn氏技术）
Iatrogenic dural tear in endoscopic lumbar spinal surgery: full endoscopic dural suture repair (Youn's technique).
作者信息
Shin Jong Ki, Youn Myung Soo, Seong Yoon Jae, Goh Tae Sik, Lee Jung Sub
机构信息
Department of Orthopaedic Surgery, Myungeun Hospital, 184 World Cup-daero, Yeonje-gu, Busan, 47521, South Korea.
Department of Orthopaedic Surgery, Biomedical Research Institute, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan, 49241, South Korea.
出版信息
Eur Spine J. 2018 Jul;27(Suppl 3):544-548. doi: 10.1007/s00586-018-5637-6. Epub 2018 May 22.
BACKGROUND
With the advancement of minimally invasive spinal surgery, endoscopic lumbar decompression has been widely used for the treatment of degenerative lumbar spinal diseases. Iatrogenic dural tear is a relatively common complication in endoscopic lumbar spinal surgery. The golden standard of treatment for iatrogenic dural tear is immediate open conversion and direct repair under microscopic visualization. Recently, most of endoscopic spinal surgery is performed under local anesthesia. So, conversion to open surgery is very embarrassing situation because of the need of additional general anesthesia. But, direct endoscopic dural repair is very difficult procedure due to the limitation of manipulation. No report showed direct dural suture under full endoscopic situation.
PURPOSE
The purpose of this surgical technique is to provide a method of full endoscopic dural suture repair without conversion to open surgery.
背景
随着微创脊柱手术的发展，内镜下腰椎减压术已广泛应用于退行性腰椎疾病的治疗。医源性硬脊膜撕裂是内镜下腰椎手术中相对常见的并发症。医源性硬脊膜撕裂的金标准治疗方法是立即转为开放手术并在显微镜直视下直接修复。近来，大多数内镜脊柱手术是在局部麻醉下进行的。因此，由于需要额外的全身麻醉，转为开放手术是非常尴尬的情况。但是，由于操作受限，直接内镜下硬脊膜修复是非常困难的手术。尚无在全内镜情况下进行直接硬脊膜缝合的报道。
目的
本手术技术的目的是提供一种不转为开放手术的全内镜下硬脊膜缝合修复方法。
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