随着我国社会经济水平的发展以及人口结构趋向老龄化,中老年人腰椎退行性病患者也日益增多,腰椎退行性疾病的发病率逐年上升,给患者的生活质量带来了显著影响。传统的开放手术治疗方法虽然有效,但往往伴随较大的创伤和恢复期,限制了其...随着我国社会经济水平的发展以及人口结构趋向老龄化,中老年人腰椎退行性病患者也日益增多,腰椎退行性疾病的发病率逐年上升,给患者的生活质量带来了显著影响。传统的开放手术治疗方法虽然有效,但往往伴随较大的创伤和恢复期,限制了其在广泛人群中的应用,并且绝大多数患者更倾向于通过微创技术解决问题。近年来经皮椎间孔镜技术(Percutaneous Endoscopic Discectomy, PELD)已成为治疗腰椎退行性疾病的有效手术方法之一,作为一种微创外科手术手段,以其创伤小、恢复快和疼痛少等优点,在腰椎退行性疾病的治疗中得到了广泛关注。尽管该技术在临床应用中展现出良好的前景,但仍存在适应症选择、手术技术熟练度、临床效果及并发症管理等方面的问题。本文旨在综述经皮椎间孔镜技术在腰椎退行性疾病中的最新研究进展,深入分析其适应症、手术技术、临床效果及并发症管理等关键内容,以期为今后的临床应用提供参考和指导。With the development of our country’s social and economic level and the aging population structure, the number of middle-aged and elderly patients with lumbar degenerative diseases is also increasing. The incidence of lumbar degenerative diseases is rising year by year, significantly affecting the quality of life of patients. Although traditional open surgical treatment methods are effective, they often come with considerable trauma and recovery time, limiting their application in a wide population, and most patients prefer to solve problems through minimally invasive techniques. In recent years, percutaneous endoscopic discectomy (PELD) has become one of the effective surgical methods for treating lumbar degenerative diseases. As a minimally invasive surgical approach, it has gained widespread attention in the treatment of lumbar degenerative diseases due to its advantages of minimal trauma, quick recovery, and less pain. Despite the promising prospects of this technology in clinical applications, there are still issues regarding the selection of indications, surgical skill proficiency, clinical outcomes, and management of complications. This article aims to review the latest research progress of percutaneous endoscopic discectomy technology in lumbar degenerative diseases, analyzing key aspects such as indications, surgical techniques, clinical outcomes, and management of complications, in order to provide reference and guidance for future clinical applications.展开更多
随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药...随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药作为其主要的麻醉方式以保留病人意识及神经易感性。围手术期良好的镇痛管理不仅是术者手术操作顺利进行的基础,更是加快病人功能锻炼及康复的关键。现已有多种区域阻滞方式联合可视化技术成功应用于经皮椎间孔镜下腰椎手术的围手术期镇痛。本文将依次介绍近年应用于椎间孔镜技术区域阻滞的方案及其优劣势,旨在使病人更舒适更安全的完成微创手术,缩短病人术后功能锻炼和康复时间,提高满意度及再手术意愿,实现快速康复理念。展开更多
文摘随着我国社会经济水平的发展以及人口结构趋向老龄化,中老年人腰椎退行性病患者也日益增多,腰椎退行性疾病的发病率逐年上升,给患者的生活质量带来了显著影响。传统的开放手术治疗方法虽然有效,但往往伴随较大的创伤和恢复期,限制了其在广泛人群中的应用,并且绝大多数患者更倾向于通过微创技术解决问题。近年来经皮椎间孔镜技术(Percutaneous Endoscopic Discectomy, PELD)已成为治疗腰椎退行性疾病的有效手术方法之一,作为一种微创外科手术手段,以其创伤小、恢复快和疼痛少等优点,在腰椎退行性疾病的治疗中得到了广泛关注。尽管该技术在临床应用中展现出良好的前景,但仍存在适应症选择、手术技术熟练度、临床效果及并发症管理等方面的问题。本文旨在综述经皮椎间孔镜技术在腰椎退行性疾病中的最新研究进展,深入分析其适应症、手术技术、临床效果及并发症管理等关键内容,以期为今后的临床应用提供参考和指导。With the development of our country’s social and economic level and the aging population structure, the number of middle-aged and elderly patients with lumbar degenerative diseases is also increasing. The incidence of lumbar degenerative diseases is rising year by year, significantly affecting the quality of life of patients. Although traditional open surgical treatment methods are effective, they often come with considerable trauma and recovery time, limiting their application in a wide population, and most patients prefer to solve problems through minimally invasive techniques. In recent years, percutaneous endoscopic discectomy (PELD) has become one of the effective surgical methods for treating lumbar degenerative diseases. As a minimally invasive surgical approach, it has gained widespread attention in the treatment of lumbar degenerative diseases due to its advantages of minimal trauma, quick recovery, and less pain. Despite the promising prospects of this technology in clinical applications, there are still issues regarding the selection of indications, surgical skill proficiency, clinical outcomes, and management of complications. This article aims to review the latest research progress of percutaneous endoscopic discectomy technology in lumbar degenerative diseases, analyzing key aspects such as indications, surgical techniques, clinical outcomes, and management of complications, in order to provide reference and guidance for future clinical applications.
文摘随着快速康复外科(enhanced recovery after surgery,EARS)及舒适化医疗理念的发展,经皮椎间孔镜技术已成功应用于部分脊柱手术,其通过孔道式入路及内镜技术实现损伤最小化。为了避免术中医源性神经损伤,常采用区域阻滞联合静脉镇痛药作为其主要的麻醉方式以保留病人意识及神经易感性。围手术期良好的镇痛管理不仅是术者手术操作顺利进行的基础,更是加快病人功能锻炼及康复的关键。现已有多种区域阻滞方式联合可视化技术成功应用于经皮椎间孔镜下腰椎手术的围手术期镇痛。本文将依次介绍近年应用于椎间孔镜技术区域阻滞的方案及其优劣势,旨在使病人更舒适更安全的完成微创手术,缩短病人术后功能锻炼和康复时间,提高满意度及再手术意愿,实现快速康复理念。
