随着中国社会的老龄化,腰椎退行性疾病在患者中的发病率逐渐增加,导致如腰背痛、腰椎活动度下降以及下肢感觉和运动功能异常等一系列问题。近年来,水介质单通道脊柱内镜下腰椎椎间融合术(以下简称“镜下融合”)逐渐受到重视。这种技术...随着中国社会的老龄化,腰椎退行性疾病在患者中的发病率逐渐增加,导致如腰背痛、腰椎活动度下降以及下肢感觉和运动功能异常等一系列问题。近年来,水介质单通道脊柱内镜下腰椎椎间融合术(以下简称“镜下融合”)逐渐受到重视。这种技术的优势在于能够使用常规手术器械,具备清晰的镜下视野和较大的操作角度,同时对椎旁肌肉的损伤较小,减少了对多裂肌的过度剥离,术后能够更好地维持脊柱及运动系统的稳定性,从而帮助患者更早恢复正常生活。基于这些优点,镜下融合得到了快速发展。本研究将对近年来镜下融合的研究进展进行综述。With the aging of society in China, the incidence of lumbar degenerative diseases is increasing gradually, which leads to a series of problems, such as low back pain, decreased lumbar mobility and abnormal sensory and motor functions of lower limbs. In recent years, the water-based single channel endoscopic lumbar interbody fusion (hereinafter referred to as “endoscopic lumbar interbody fusion”) has been paid more and more attention. The advantage of this technique is that it can use conventional surgical instruments, and has a clear field of vision under the microscope and a large operating angle. At the same time, it has less damage to paraspinal muscles, reduces excessive peeling of multifidus muscles, and can better maintain the stability of the spine and motor system after surgery, thus helping patients to return to normal life earlier. Based on these advantages, the endoscopic lumbar interbody fusion has developed rapidly. This study will summarize the research progress of the endoscopic lumbar interbody fusion in recent years.展开更多
海豹肢畸形(Phocomelia)是一种罕见的局部肢体畸形,其发病率约为4.2/1,000,000。根据患者肢体相对于躯干的缺失程度,海豹肢畸形分为完全型海豹肢畸形、部分型海豹肢畸形(近侧海豹肢畸形和远侧海豹肢畸形)、未分类型海豹肢畸形。神经源...海豹肢畸形(Phocomelia)是一种罕见的局部肢体畸形,其发病率约为4.2/1,000,000。根据患者肢体相对于躯干的缺失程度,海豹肢畸形分为完全型海豹肢畸形、部分型海豹肢畸形(近侧海豹肢畸形和远侧海豹肢畸形)、未分类型海豹肢畸形。神经源性膀胱(Neuropathic Bladder)是指由中枢神经系统病变或周围神经系统病变导致的膀胱和尿道括约肌功能障碍。海豹肢畸形产前超声诊断率极高,一经诊断便会选择引产,因此海豹肢畸形患儿的出生率极低,且海豹肢畸形患儿出生后存活率极低,经过查阅文献,国内尚未见海豹肢畸形合并神经源性膀胱的相关病例报道。目前在赣南医科大学第一附属医院小儿外科接诊海豹肢畸形合并神经源性膀胱患儿一例,现将病例报告如下。Phocomelia is a rare partial limb deformity with an incidence of approximately 4.2/1,000,000. Depending on the degree of loss of the limb relative to the trunk, phocomelia is categorized as complete phocomelia, partial phocomelia (proximal phocomelia and distal phocomelia), or unclassified phocomelia. 1) The incidence of phocomelia is approximately 4.2/100,000,000. 2) The incidence of phocomelia is approximately 4.2/1,000,000. 3) The incidence of phocomelia is approximately 4.2/1,000,000. 4) The incidence of phocomelia is approximately 4.2/100,000,000. Neuropathic Bladder is a bladder and urethral sphincter dysfunction caused by a central nervous system lesion or a peripheral nervous system lesion. The prenatal ultrasound diagnosis of seal limb malformation is very high, and once diagnosed, labor is induced, so the birth rate of children with seal limb malformation is very low, and the survival rate of children with seal limb malformation is very low. After reviewing the literature, we have not seen any case report of seal limb malformation combined with neuropathic bladder in China. At present, a case of seal limb malformation combined with neurogenic bladder was received in the Department of Pediatric Surgery of the First Affiliated Hospital of Gannan Medical University, Gannan, China, and is reported as follows.展开更多
文摘随着中国社会的老龄化,腰椎退行性疾病在患者中的发病率逐渐增加,导致如腰背痛、腰椎活动度下降以及下肢感觉和运动功能异常等一系列问题。近年来,水介质单通道脊柱内镜下腰椎椎间融合术(以下简称“镜下融合”)逐渐受到重视。这种技术的优势在于能够使用常规手术器械,具备清晰的镜下视野和较大的操作角度,同时对椎旁肌肉的损伤较小,减少了对多裂肌的过度剥离,术后能够更好地维持脊柱及运动系统的稳定性,从而帮助患者更早恢复正常生活。基于这些优点,镜下融合得到了快速发展。本研究将对近年来镜下融合的研究进展进行综述。With the aging of society in China, the incidence of lumbar degenerative diseases is increasing gradually, which leads to a series of problems, such as low back pain, decreased lumbar mobility and abnormal sensory and motor functions of lower limbs. In recent years, the water-based single channel endoscopic lumbar interbody fusion (hereinafter referred to as “endoscopic lumbar interbody fusion”) has been paid more and more attention. The advantage of this technique is that it can use conventional surgical instruments, and has a clear field of vision under the microscope and a large operating angle. At the same time, it has less damage to paraspinal muscles, reduces excessive peeling of multifidus muscles, and can better maintain the stability of the spine and motor system after surgery, thus helping patients to return to normal life earlier. Based on these advantages, the endoscopic lumbar interbody fusion has developed rapidly. This study will summarize the research progress of the endoscopic lumbar interbody fusion in recent years.
文摘海豹肢畸形(Phocomelia)是一种罕见的局部肢体畸形,其发病率约为4.2/1,000,000。根据患者肢体相对于躯干的缺失程度,海豹肢畸形分为完全型海豹肢畸形、部分型海豹肢畸形(近侧海豹肢畸形和远侧海豹肢畸形)、未分类型海豹肢畸形。神经源性膀胱(Neuropathic Bladder)是指由中枢神经系统病变或周围神经系统病变导致的膀胱和尿道括约肌功能障碍。海豹肢畸形产前超声诊断率极高,一经诊断便会选择引产,因此海豹肢畸形患儿的出生率极低,且海豹肢畸形患儿出生后存活率极低,经过查阅文献,国内尚未见海豹肢畸形合并神经源性膀胱的相关病例报道。目前在赣南医科大学第一附属医院小儿外科接诊海豹肢畸形合并神经源性膀胱患儿一例,现将病例报告如下。Phocomelia is a rare partial limb deformity with an incidence of approximately 4.2/1,000,000. Depending on the degree of loss of the limb relative to the trunk, phocomelia is categorized as complete phocomelia, partial phocomelia (proximal phocomelia and distal phocomelia), or unclassified phocomelia. 1) The incidence of phocomelia is approximately 4.2/100,000,000. 2) The incidence of phocomelia is approximately 4.2/1,000,000. 3) The incidence of phocomelia is approximately 4.2/1,000,000. 4) The incidence of phocomelia is approximately 4.2/100,000,000. Neuropathic Bladder is a bladder and urethral sphincter dysfunction caused by a central nervous system lesion or a peripheral nervous system lesion. The prenatal ultrasound diagnosis of seal limb malformation is very high, and once diagnosed, labor is induced, so the birth rate of children with seal limb malformation is very low, and the survival rate of children with seal limb malformation is very low. After reviewing the literature, we have not seen any case report of seal limb malformation combined with neuropathic bladder in China. At present, a case of seal limb malformation combined with neurogenic bladder was received in the Department of Pediatric Surgery of the First Affiliated Hospital of Gannan Medical University, Gannan, China, and is reported as follows.
