【摘 要】
：
腰椎疾病如腰椎间盘突出症(lumbar disc herniation,LDH)、腰椎椎管狭窄(lumbar spinal stenosis,LSS)等退行性疾病是引起下腰痛的常见病因,发病初期其治疗方式为保守治疗,当
【机 构】
：
内蒙古医科大学研究生学院,呼和浩特010110;内蒙古医科大学基础医学院人体解剖学教研室,呼和浩特010110
论文部分内容阅读
腰椎疾病如腰椎间盘突出症(lumbar disc herniation,LDH)、腰椎椎管狭窄(lumbar spinal stenosis,LSS)等退行性疾病是引起下腰痛的常见病因,发病初期其治疗方式为保守治疗,当疼痛严重、反复发作、经保守治疗无效时需采用手术治疗.随着技术的革新,由最早的传统椎间盘切除术发展到现在的内窥镜技术,经皮椎间孔镜间盘切除术(percutaneous transforaminal endoscopic discectomy,PTED)因创伤小、恢复快、手术时间短、疼痛轻、提高腰椎脊髓功能等优势在临床应用广泛[1],并以其安全、微创的优势不断扩大手术适应症范围[2].本文从椎间孔镜技术临床应用解剖学基础入手,对椎间孔镜技术发展历程及经皮椎间孔镜手术适应证、手术入路和并发症等方面进行综述.
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