经皮内窥镜下腰椎间盘切除术术前定位方法的改进和应用

Abstract
Figure/Table
References
Related Citation (8)

Download: PDF (0 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore a novel preoperative location method which was more time-saving and effective than traditional preoperative location method of percutaneous endoscopic lumbar discectomy (PELD).Methods 60 patients with lumbar disc herniation (LDH) received surgical treatment were selected.According to the difference of preoperative location method,30 patients of group A were surgically treated by traditional method of preoperative location method,while 30 patients of Group B underwent operation by novel method. The fluoroscopy times, preoperative location time and operation time were thoroughly recorded and analyzed to compare with the different preoperative location method.Results The fluoroscopy time of Group A was (15.63±3.61) and that of Group B was (12.20±3.67). The preoperative location time of Group A was (16.62±2.45) min and that of Group B was (11.51±1.50) min.The operation time of Group A was (65.73±4.09) min and that of Group B was (58.49±3.87) min.Conclusion Compared with traditional preoperative location method,the fluoroscopy times,preoperative location time, and operation time of patients with novel preoperative location method were significantly shorter.

Key words： endoscope lumbar discectomy location treatment

Received: 04 July 2018

PACS:

R605.97

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	NIU Chong
	GENG Xiaopeng
	WANG Xin
	GAO Sheng
	FANG Qingmin
	SUN Zhaozhong
	HU Peng

Cite this article:

NIU Chong,GENG Xiaopeng,WANG Xin, et al. Improvement and application of a preoperative location method of percutaneous endoscopic lumbar discectomy[J]. 滨州医学院学报, 2018, 41(5): 343-346.

URL:

http://manu58.magtech.com.cn/Jwk_bzyxy/EN/ OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2018/V41/I5/343

[1] 陈之光,付勤.椎间孔镜经不同入路治疗腰椎间盘突出症的临床进展[J].中国骨伤,2012,25(12):1057-1060.
[2] Ahn Y,Lee S H,Park W M,et al.Posterolateral percutaneous endoscopic lumbar foraminotomy for L5-S1 foraminal or lateral exit zone stenosis. Technical note[J].J Neurosurg,2003,99 (3 Suppl):320-323.
[3] Lee S H,Chung S E,Ahn Y,et al.Comparative radiologic evaluation of percutaneous endoscopic lumbar discectomy and open microdiscectomy:A matched cohort analysis[J].Mt Sinai J Med,2006,73(5):795-801.
[4] Kitagawa Y,Sairyo K,Shibuya I,et al.Minimally invasive and simultaneous removal of herniated intracanal and extracanal lumbar nucleus pulposus with a percutaneous spinal endoscope[J].Asian J Endosc Surg,2012, 5(4):183-186.
[5] Fan G,Guan X,Sun Q,et al.Puncture reduction in percutaneous transforaminal endoscopic discectomy with HE’s Lumbar Location (HELLO) system: A cadaver study[J].PLoS One,2015,10(12):e0144939.
[6] Wang H,Huang B,Li C,et al.Learning curve for percutaneous endoscopic lumbar discectomy depending on the surgeon’s training level of minimally invasive spine surgery[J].Clin Neurol Neurosurg,2013,115(10):1987-1991.
[7] Fan G,Gu X,Liu Y,et al.Lower Learning Difficulty and Fluoroscopy Reduction of Transforaminal Percutaneous Endoscopic Lumbar Discectomy with an Accurate Preoperative Location Method[J].Pain Physician,2016,19(8):E1123-E1134.
[8] Hoogland T,Schubert M, Miklitz B,et al.Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain:a prospective randomized study in 280 consecutive cases[J].Spine (Phila Pa 1976),2006,31(24):E890-897.
[9] Xin G,Shi-Sheng H,Hai-Long Z.Morphometric analysis of the YESS and TESSYS techniques of percutaneous transforaminal endoscopic lumbar discectomy[J].Clin Anat,2013,26(6):728-734.
[10] Guan X,Gu X,Zhang L,et al.Morphometric analysis of the working zone for posterolateral endoscopic lumbar discectomy based on magnetic resonance neurography[J].J Spinal Disord Tech,2015,28(2):E78-84.
[11] Lee S,Kim S K,Lee S H,et al.Percutaneous endoscopic lumbar discectomy for migrated disc herniation: classification of disc migration and surgical approaches[J].Eur Spine J,2007,16(3):431-437.
[12] 白一冰,李嵩鹏,王力文,等.改良TESSYS技术治疗腰椎神经根管狭窄症[J].颈腰痛杂志,2015,36(1):16-19.
[13] Fan G,Guan X,Zhang H,et al.Significant Improvement of Puncture Accuracy and Fluoroscopy Reduction in Percutaneous Transforaminal Endoscopic Discectomy With Novel Lumbar Location System:Preliminary Report of Prospective Hello Study[J].Medicine (Baltimore),2015,94(49):e2189.
[4] Fan G,Fu Q,Wu X,et al.Patient and operating room personnel radiation exposure in spinal surgery[J].Spine J,2015,15(4):797-799.
[15] Fan G,He S,Chen Z.Musculoskeletal Pain and Cancer Risk of Staff Working With Fluoroscopically Guided Procedures[J].J Am Coll Cardiol,2015,66(6):759-760.
[16] Xin G,Shi-Sheng H,Hai-Long Z.Morphometric analysis of the YESS and TESSYS techniques of percutaneous transforaminal endoscopic lumbar discectomy[J].Clin Anat,2013,26(6):728-734.