腰椎单侧双通道脊柱内镜切口定位及距离个性化研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v7i6.17057
Abstract
本文结合国内外关于腰椎单侧双通道脊柱内镜技术的文章和临床实际经验，回顾性总结单侧双通道内镜技术的发展历程，此技术在切口定位及距离方面的标准，并对其效果及合理性进行总结。由于单侧双通道脊柱内镜手术两通道切口定位标准不统一以及患者的个体差异。术者手术具体操作过程中产生一定问题：不同患者皮肤到椎板的距离由于肌肉厚度、脂肪厚度、椎体大小的不同会有差异，遵循已有的技术标准的两通道切口定位方式以及距离范围会导致两通道镜头汇聚端的角度过小或者过大，增加术者的操作难度，影响术者操作的流畅性及完成度。从而导致医源性伤害的产生：术中损伤概率的增加，术中出血以及手术时长的增加，也会导致增加C型 X光机透视次数。综上会造成患者的伤害以及减慢术后康复时间。提出在实施 单 侧 双 通 道 内 镜 技术手术时是否在切口定位及两切口距离范围存在更加准确的个性化定位模式从而针对患者进行个性化定制的两通道切口定位及距离范围，对减少患者术中损伤及加快术后康复起到帮助。
Keywords
脊柱内镜；单侧双通道脊柱内镜；腰椎间盘突出症
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[4] Ruetten S, Komp M. Endoscopic Lumbar Decompression. Neurosurg Clin N Am. 2020;31(1):25-32.
[5] Kwon H, Park JY. The Role and Future of Endoscopic Spine Surgery: A Narrative Review. Neurospine. 2023;20(1):43-55.
[6] Chen KT, Kim JS, Huang AP, et al. Current Indications for Spinal Endoscopic Surgery and Potential for Future Expansion. Neurospine. 2023;20(1):33-42.
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