经皮椎间孔镜椎板间入路与椎间孔入路治疗腰椎管狭窄症

Interlaminal and transforaminal approach for the treatment of lumbar spinal stenosis by percutaneous endoscopic lumbar discectomy

摘要:

腰椎管狭窄症是老年人常见病、多发病。手术方式包括开放手术和微创手术。椎间孔镜以其创口小、疼痛轻及恢复快的特点已成为目前治疗腰椎管狭窄症的微创手术首选器械。其手术入路主要分为经皮椎板间入路和经皮椎间孔入路,然而这两种手术入路各有优缺点及适应证。在实际的临床工作中选择椎间孔镜治疗腰椎管狭窄症时,对不同病理类型的腰椎管狭窄症选用合适的手术入路进行治疗,是达到良好手术效果的前提。

Abstract:

Lumbar spinal stenosis is common among the elderly, and its surgical treatment includes open surgery and minimally invasive surgery. Percutaneous endoscopic lumbar discectomy is the first-choice minimally invasive surgery for this condition because of its small wound, mild pain and rapid recovery. The procedure is performed via either percutaneous interlaminal or percutaneous transforaminal approach with their own indications, advantages and disadvantages. Clinically, choosing the optimal approach based on pathological types of lumbar spinal stenosis determines the success of the operation.