内镜下腰椎间盘切除术与微创腰椎椎间融合术：对比性综述
Endoscopic lumbar discectomy and minimally invasive lumbar interbody fusion: a contrastive review.
作者信息
Yuan Chao, Wang Jian, Zhou Yue, Pan Yong
机构信息
Orthopaedics Department, Xinqiao Hospital, Chongqing, China.
出版信息
Wideochir Inne Tech Maloinwazyjne. 2018 Dec;13(4):429-434. doi: 10.5114/wiitm.2018.77744. Epub 2018 Aug 22.
Abstract
Both percutaneous endoscopic lumbar discectomy (PELD) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) have been demonstrated as two common and effective choices for lumbar disc herniation (LDH) minimally invasive surgery. In order to get a better understanding of these two procedures, we made this contrastive review. By looking up recent literature and combining it with our clinical practice, the indications/contraindications, advantages/disadvantages as well as complications/recurrences of PELD and MIS-TLIF were summarized in this review. It was concluded that PELD and MIS-TLIF are safe and effective minimally invasive operative techniques for symptomatic LDH treatment. A better understanding of these two procedures will help to improve clinical outcomes by selecting proper indications, and also benefit the further development of minimally invasive spine surgery.
摘要
经皮内镜下腰椎间盘切除术（PELD）和微创经椎间孔腰椎椎体间融合术（MIS-TLIF）均已被证明是腰椎间盘突出症（LDH）微创手术的两种常见且有效的选择。为了更好地了解这两种手术，我们进行了这项对比性综述。通过查阅近期文献并结合我们的临床实践，本综述总结了PELD和MIS-TLIF的适应证/禁忌证、优点/缺点以及并发症/复发情况。得出的结论是，PELD和MIS-TLIF是治疗有症状LDH的安全有效的微创手术技术。更好地了解这两种手术将有助于通过选择合适的适应证来改善临床结果，也有利于微创脊柱手术的进一步发展。
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