全脊柱内镜下经椎板打孔髓核摘除术治疗重度向上移位型腰椎间盘突出症的疗效分析
Chinese Journal of Spine and Spinal Cord(2023)
Abstract
在腰椎间盘突出症的患者中,35%~72%存在椎间盘向上或向下移位,常因保守治疗无效而需要手术治疗[1~3].经内镜下椎间孔或椎板间隙人路治疗椎间盘向上移位超过上终板下缘3mm以上的重度移位型腰椎间盘突出症(high-grade up-migrated lumbar disc herniation,HUM-LDH)存在着一定的技术困难,常因移位的髓核残留导致疗效不佳,建议接受开放手术14~6].为解决这一难题,笔者自2017年6月~2021年7月采用全脊柱内镜下腰椎板环锯打孔髓核摘除术治疗20例重度向上移位型腰椎间盘突出症患者,取得了较好的临床效果,报道如下.
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