中华临床医师杂志(电子版) 2017年2月,11卷3期

综 述

微创内镜下手术治疗退变性腰椎管狭窄症的研究进展

陈佳佳 崔志明

226001 江苏省,南通市第一人民医院脊柱外科
崔志明,Email: cjj05170418@126.com

摘要:退变性腰椎管狭窄症是导致老年人腰腿痛的常见疾病。传统的全椎板减压术易导致医源性的腰椎不稳,腰椎滑脱等并发症,因此,近年来不主张大范围减压的术式。微创内镜下手术治疗退变性腰椎管狭窄症,由于创伤小、恢复快、对脊柱稳定性影响小等优点,已逐步应用于临床。但目前仍存在适应证把握不准、并发症发生率较高等问题,本文拟就微创内镜下手术治疗退变性腰椎管狭窄症的研究现状作一综述。

关键词:椎管狭窄; 椎管减压; 椎间盘镜; 椎间孔镜

Research progress of microendoscope-assisted spinal decompression surgery for degenerative lumbar spinal stenosis

Chen Jiajia, Cui Zhiming.

Department of Spine Surgery, Nantong First People's Hospital, Nantong 226001, China
Cui Zhiming, Email: cjj05170418@126.com

Abstract:Degenerative lumbar spinal stenosis is a common disease causing lumbocrural pain in older people. The conventional laminectomy can cause complications, including iatrogenic lumbar spine instability and spondylolisthesis, therefore, extensive decompression surgery does not advocate recent years. Microendoscope-assisted spinal decompression surgery for degenerative lumbar spinal stenosis has the advantages of less-injury, speedy recovery, and small influence on the stability of the spine, has gradually been applied in clinic. However, there are still some problems such as inappropriate indications and high morbidity of complication. In this review, we discussed the current status of microendoscope- assisted spinal decompression surgery for degenerative lumbar spinal stenosis.

Keywords:Spinal stenosis; Laminectomy; Microendoscopy discectomy; Percutaneous endoscopic lumbar discectomy

江苏省临床医学科技专项(BL2014061)

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(编辑:马超 收稿日期:2016-12-12)