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一种使用单通道经椎间孔内窥镜切除有症状骨软骨瘤的技术。

A Technique for Resecting Symptomatic Osteochondromas Using Single-Channel Transforaminal Endoscope.

作者信息

Li Zhenxing, Wail Hussein Ahmed Al-Ameer, Chen Qiyu, Li Yimi, Fan Pei

机构信息

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.

Wenzhou Medical University, Wenzhou, China.

出版信息

Arthrosc Tech. 2024 Dec 19;14(4):103359. doi: 10.1016/j.eats.2024.103359. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103359
PMID:40453031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126047/
Abstract

Osteochondromas are the most common benign bone tumors, consisting of trabecular bone covered by a cartilage cap. Symptomatic osteochondromas are conventionally treated with open surgical excision. This article introduces a minimally invasive technique using a single-channel transforaminal endoscope to resect osteochondromas. The patient is placed in the supine position. A 2-cm skin incision is made with the aid of a guidewire. A working sleeve is inserted over the guidewire, followed by the insertion of a 30° spinal transforaminal endoscope with a 6.2-mm working channel. Tissue dissection is performed, and a custom-made osteotome is used to excise the osteochondroma from the host bone. The osteochondroma is then removed with forceps. The incisions are closed with interrupted sutures, which are smaller and more cosmetically beneficial. The use of a single-channel transforaminal endoscope for resecting osteochondromas is a reproducible and straightforward minimally invasive technique. This method may be applicable to the treatment of similar musculoskeletal osteochondromas in the future.

摘要

骨软骨瘤是最常见的良性骨肿瘤，由覆盖着软骨帽的小梁骨组成。有症状的骨软骨瘤传统上采用开放手术切除。本文介绍一种使用单通道经椎间孔内窥镜切除骨软骨瘤的微创技术。患者取仰卧位。在导丝辅助下做一个2厘米的皮肤切口。在导丝上插入工作套管，随后插入带有6.2毫米工作通道的30°脊柱经椎间孔内窥镜。进行组织分离，使用定制的骨刀从宿主骨上切除骨软骨瘤。然后用钳子取出骨软骨瘤。切口用间断缝线缝合，缝线更小且更美观。使用单通道经椎间孔内窥镜切除骨软骨瘤是一种可重复且简单的微创技术。该方法未来可能适用于治疗类似的肌肉骨骼骨软骨瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/3b460a88d664/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/ef875d14875b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/6f5f325b3c26/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/28dadb0dbb7d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/ebc334474abe/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/65dbe809aabf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/b19434ac9018/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/6ceaf7f0777f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/3c8b6e4e6368/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/b90c77e86938/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/d3cb2fe1f958/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/0f513a42555c/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/5d1d64774dee/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/23eda3466b5d/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/3b460a88d664/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/ef875d14875b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/6f5f325b3c26/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/28dadb0dbb7d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/ebc334474abe/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/65dbe809aabf/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/b19434ac9018/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/6ceaf7f0777f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/3c8b6e4e6368/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/b90c77e86938/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/d3cb2fe1f958/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/0f513a42555c/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/5d1d64774dee/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/23eda3466b5d/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a72d/12126047/3b460a88d664/gr14.jpg

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本文引用的文献

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In Vivo. 2021 Mar-Apr;35(2):681-691. doi: 10.21873/invivo.12308.
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Rare Presentation of Benign Osteochondroma: A Case Report.良性骨软骨瘤的罕见表现：一例报告
J Orthop Case Rep. 2020;9(6):82-85. doi: 10.13107/jocr.2019.v09.i06.1600.
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Arthroscopic Excision of Solitary Intra-articular Osteochondroma of the Knee.膝关节孤立性关节内骨软骨瘤的关节镜下切除术
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