[1]张为,李昊儒,丁文元,等.椎间孔镜技术在脊柱外科的应用进展[J].中华老年骨科与康复电子杂志,2017,(06):377-380.[doi:10.3877/cma.j.issn.2096-0263.2017.06.012]
 Zhang Wei,Ding Wenyuan,Li Haoru,et al.The application of percutaneous endoscopic lumbar discectomy in spinal surgery[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(06):377-380.[doi:10.3877/cma.j.issn.2096-0263.2017.06.012]
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椎间孔镜技术在脊柱外科的应用进展()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年06期
页码:
377-380
栏目:
综述
出版日期:
2017-11-27

文章信息/Info

Title:
The application of percutaneous endoscopic lumbar discectomy in spinal surgery
作者:
张为 1李昊儒 2丁文元 1白佳悦 3张迪 1孙亚澎 1申勇 1
050051 石家庄,河北医科大学第三医院脊柱外科 1;063000 唐山,华北理工大学基础医学院 2;050011 河北省石家庄市第三医院 3
Author(s):
Zhang Wei1 Ding Wenyuan1 Li Haoru2 Bai Jiayue3 Zhang Di1 Sun Yapeng1 Shen Yong1
1Department of Spinal Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang 050051, China; 2School of Basic Medical Sciences, North China University of Science and Technology, Tangshan 063000, China; 3the Third Hospital of Shijiazhuang City, Hebei Province, Shijiazhuang 050051, China
关键词:
脊柱 微创手术 椎间孔镜
Keywords:
Spine Minimally invasive surgical procedures Transforaminal endoscopy
DOI:
10.3877/cma.j.issn.2096-0263.2017.06.012
文献标志码:
A
摘要:
经皮椎间孔镜技术(PTED)是目前广泛应用于临床的一种脊柱微创技术。因其具有手术创伤小、术中出血量少、术后恢复快、住院时间短、并发症少等优点,一经问世便得到了广泛的认可和快速的发展。目前已应用于腰椎间盘突出症、腰椎管狭窄症、椎间盘感染、椎体转移瘤、椎间盘囊肿等疾病的治疗。随着应用研究的深入,该技术的适应证、操作技巧、并发症预防等问题也得到越来越多的关注。本文就目前经皮椎间孔镜技术在脊柱外科的应用进展作一综述。
Abstract:
Percutaneous transforaminal endoscopic discectomy (PTED) is a minimally invasive spine technology that has been widely used in the clinical application at present. Once developed, it has been universally recognized and in rapid expansion due to its less surgical trauma, less blood loss, faster recovery, shorter hospital stay, fewer complications and so on. PTED has been applied to lumbar intervertebral disc herniation, lumbar spinal stenosis, infection of intervertebral disc, spinal metastatic tumor and intervertebral disc cyst now. With the application research moving forward, increasing attention has been paid to the problem of adaptation, operating skills, prevention from complication and so on. The recent application of PTED in spinal surgery has been reviewed in this article.

参考文献/References:

1 Okuda S, Oda T, Miyauchi A, et al. Surgical outcomes of posterior lumbar interbody fusion in elderly patients [J]. J Bone Joint Surg Am, 2006, 88(12): 2714-2720.
2 Kambin P. Arthroscopic microdiskectomy [J]. Mt Sinai J Med, 1991, 58(2): 159-164.
3 Schreiber A, Leu H. Percutaneous nucleotomy:technique with discoscopy [J]. Orthopedics, 1991, 14(4): 439-444.
4 Yeung AT. The evolution of percutaneous spinal endoscopy and discectomy: state of the art [J]. Mt Sinai J Med, 2000, 67(4): 327-332.
5 Deen HG. Posterolateral endoscopic excision for lumbar discherniation:surgical technique,outcome,and complications in307 consecutive cases [J]. Spine (Phila Pa 1976), 2002, 27(18): 2081-2082.
6 Yeung A, Yeung C. Minimally invasive techniques for the management of lumbar disc herniation [J]. Orthop Clin North Am, 2007, 38 (3): 363-372.
7 王建, 周跃, 张正丰, 等. 经皮内窥镜下腰椎间盘切除术治疗极外侧型腰椎间盘突出 [J]. 中国脊柱脊髓杂志, 2008, 18(7): 494-497.
8 周建伟, 杨滨, 任冬云, 等. 杨氏椎间孔镜治疗腰椎间盘突出症的远期疗效 [J]. 中国矫形外科杂志, 2012, 20(17): 1537-1540.
9 Hoogland T, Schubert M, Miklitz B, et al. Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases [J]. Spine, 2006, 31(24): 890-897.
10 王鸿晨, 叶猛, 张伟学. 经皮椎间孔镜治疗腰椎间盘突出症的疗效分析 [J]. 临床和实验医学杂志, 2014,13(5): 385-387.
11 Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation: Surgical technique, outcome, and complications in 307 consecutive cases [J]. Spine (Phila Pa 1976), 2002, 27(7): 722- 731.
12 Lee D, Ahn Y, Lee S. Percutaneous endoscopic lumbar discectomy for adolescent lumbar disc herniation:surgical outcomes in 46 consecutive patients [J]. Mt Sinai J Med, 2006, 73(6): 864-870.
13 Ahn Y, Lee SH. Postoperative spondylodiscitis following transforaminal percutaneous endoscopic lumbar discectomy: clinical characteristics and preventive strategies [J]. Br J Neurosurg, 2012, 26(4): 482- 486.
14 Hoogland T, Van Den Brekel-Dijkstra K, Schubert M, et al. Endoscopic transforaminal discectomy for recurrent lumbar disc herniation: a prospective, cohort evaluation of 262 consecutive cases [J]. Spine (Phila Pa 1976), 2008, 33(9): 973-978.
15 Liao Z, Chen W, Wang C. Transforaminal percutaneous endoscopic surgery for far lateral lumbar intervertebral disk herniation [J]. Orthopedics, 2014, 37(8): 717-727.
16 吴小程, 周跃, 李长青. 经皮椎间孔镜与显微内窥镜治疗腰椎间盘突出症的前瞻性随机对照研究 [J]. 第三军医大学学报, 2009, 31 (9): 843-846.
17 Kambin P, Casey K, O’brien E, et al. Transforaminal arthroscopic decompression of lateral recess stenosis [J]. J Neurosurg, 1996, 84(3): 462-467.
18 Ahn Y, Lee SH, Park WM, et al. Posterolateral percutaneous endoscopic lumbar foraminotomy for L5-S1 foraminal or lateral exit zone stenosis. Technical note [J]. J Neurosurg, 2003, 99(3 Suppl): 320-323.
19 许勇, 陈仙, 李利平, 等. 经皮椎间孔镜治疗腰椎管狭窄症的体会 [J]. 中国骨与关节损伤杂志, 2013, 28(7): 651-652.
20 杨林, 鹿洪辉. 椎间孔镜技术与开放手术在治疗伴有骨质疏松的腰椎管狭窄症的疗效及安全性比较 [J]. 中华老年多器官疾病杂志, 2014,13 (7): 507-511.
21 袁伟杰, 胡军祖. 椎间盘炎的研究进展 [J]. 中外医学研究, 2014, 12 (28): 154-156.
22 Iwata A, Ito M, Abumi K, et al. Fungal spinal infection treated with percutaneous posterolateral endoscopic surgery [J]. J Neurol Surg A Cent Eur Neurosurg, 2014, 75(3): 170-176.
23 Joo YC, Ok WK, Baik SH, et al. Removal of a vertebral metastatic tumor compressing the spinal nerve Roots via a single-port, transforaminal, endoscopic approach under monitored anesthesia care [J]. Pain Physician, 2012, 15(4): 297-302.
24 王东, 聂远, 蒋代国. 椎间孔镜下射频消融治疗椎旁骨转移瘤患者顽固性疼痛的疗效观察 [J]. 中华医学杂志, 2013, 93(29): 2321- 2323.
25 Chiba K, Toyama Y, Matsumoto M, et al. Intraspinal cyst communicating with the intervertebral disc in the lumbar spine - Discal cyst [J]. Spine (Phila Pa 1976), 2001, 26(19): 2112-2118.
26 Ha SW, Ju CI, Kim SW, et al. Clinical outcomes of percutaneous endoscopic surgery for lumbar discal cyst [J]. J Korean Neurosurg Soc, 2012, 51(4): 208-214.
27 Choi K, Lee C, Lee S. Pyogenic spondylodiscitis after percutaneous endoscopic lumbar discectomy [J]. J Korean Neurosurg Soc, 2010, 48 (5): 455-460.
28 菅振, 傅一山. 腰椎术后椎间隙感染诊断与治疗 [J]. 国际骨科学杂志, 2014, 35(4): 226-227, 234.
29 Kylanpaa BM, Suominen R, Salo S, et al. Postoperative discitis:outcome and late magnetic resonance image evaluation of ten patients [J]. Ann Chir Gynaecol, 1999, 88(1): 61-64.
30 Meyer B, Schaller K, Rohde V, et al. The C-reactive protein for detection of early infections after lumbar microdiscectomy [J]. Acta Neurochir (Wien), 1995, 136(3/4): 145-150.
31 Schulitz K, Assheuer J. Discitis after procedures on the intervertebral disc [J]. Spine (Phila Pa 1976), 1994, 19(10): 1172-1177.
32 樊渊, 成文, 高跃翔. 腰椎术后椎间隙感染的治疗探讨 [J]. 中华医院感染学杂志, 2014, 24(19): 4847-4849.
33 Cho JY, Lee SH, Lee HY. Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanlicular lumbar disc herniation: floating retraction technique [J]. Minim invasive neurosurg, 2011, 54(5-6): 214-218.
34 Choi I, Ahn JO, So WS, et al. Exiting root injury in transforaminal endoscopic discectomy: preoperative image considerations for safety [J]. Eur Spine J, 2013, 22(11): 2481-2487.
35 Hasegawa K, Yamamoto N. Nerve root herniation secondary to lumbar puncture in the patient with lumbcanal stenosis:A case report [J]. Spine (Phila Pa 1976), 1999, 24(9): 915-917.
36 Ahn Y, Lee HY, Lee SH, et al. Dural tears in percutaneous endoscopic lumbar discectomy [J]. Eur Spine J, 2011, 20(1): 58-64.
37 39 邢震. YESS及 TESSYS椎间孔镜手术治疗腰椎间盘突出症患者的临床疗效 [J]. 中国药物经济学, 2015, 9: 91-93.
38 史晓红. 经皮椎间孔镜技术治疗腰椎间盘突出症临床观察 [J]. 深圳中西医结合杂志, 2015, 25(14): 128-129.
39 Lee DY, Lee SH. Learning curve for percutaneous endoscopic lumbar discectomy [J]. Neurol Med Chir (Tokyo), 2008, 48(9): 383-388.
40 Choi G, Kang HY, Modi HN, et al. Risk of developing seizure after percutaneous endoscopic lumbar discectomy [J]. J Spinal Disord Tech, 2011, 24(2): 83-92.
41 Lee SH, Kang B, Ahn Y, et al. Operative failure of percutaneous endoscopic lumbar discectomy: A radiologic analysis of 55 cases [J]. Spine (Phila Pa 1976), 2006, 31(10): E285-E290.
42 Ahn Y, Kim JU, Lee BH, et al. Postoperative retroperitoneal hematoma following transforaminal percutaneous endoscopic lumbar discectomy [J]. J Neurosurg Spine, 2009, 10(6): 595-602.
43 Hellinger J. Technical aspects of the percutaneous cervical and lumbar laser-disc-decompression and-nucleotomy [J]. Neurol Res, 1999, 21(1): 99-102.
44 Ahn Y, Kim CH, Lee JH, et al. Radiation exposure to the surgeon during percutaneous endoscopic lumbar discectomy: a prospective study [J]. Spine (Phila Pa 1976), 2013, 38(7): 617-625.

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备注/Memo

备注/Memo:
基金项目:河北省财政厅课题
更新日期/Last Update: 2017-11-28