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首页> 美国卫生研究院文献>International Journal of Spine Surgery >The Evolution and Advancement of Endoscopic Foraminal Surgery: One Surgeons Experience Incorporating Adjunctive Techologies
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The Evolution and Advancement of Endoscopic Foraminal Surgery: One Surgeons Experience Incorporating Adjunctive Techologies

机译：内窥镜孔镜手术的发展与进步：一位外科医生结合辅助技术的经验

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BackgroundEndoscopic spine surgery has evolved gradually through improvements in endoscope design, instrumentation, and surgical techniques. The ability to visualize and treat painful pathology endoscopically through the foramen has opened the door for the diagnosis and treatment of degenerative conditions of the lumbar spine (from T10 to S1). Other endoscopic techniques for treating a painful disc have been focused on a posterior approach and has been compared with micro–lumbar discectomy. These procedures have not been more effective than open microdiscectomy but are less invasive, have less surgical morbidity, and allow for more rapid surgical recovery. Spinal decompression and fusion was the fallback procedure when nonsurgical treatment or discectomy failed to relieve sciatica and back pain. Foraminal endoscopic surgery, however, provides a truly minimally invasive alternative approach to the pathoanatomy of the lumbar spine because it preserves the multifidus muscle, maintains motion, and eliminates or, at worst, delays the need for fusion.
机译：背景技术通过改进内窥镜设计，仪器和外科技术，内窥镜脊柱外科手术已逐渐发展。通过孔内窥镜观察和治疗疼痛病理的能力为诊断和治疗腰椎退行性疾病（从T10到S1）打开了大门。其他治疗疼痛性椎间盘的内窥镜技术已集中在后路手术方法上，并已与微腰椎间盘切除术进行了比较。这些手术没有比开放式微盘切除术更有效，但侵入性较小，手术发病率较低，并且可以使手术恢复更快。当非手术治疗或椎间盘切除术不能缓解坐骨神经痛和背痛时，脊柱减压和融合是后备手术。但是，椎间孔镜内窥镜手术为腰椎的病理解剖学提供了一种真正的微创替代方法，因为它保留了多指肌，保持了运动，消除了或在最坏的情况下延迟了融合的需要。

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