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首页> 外文期刊>Open Journal of Urology >The Clinical Outcomes of Transforaminal Percutaneous Endoscopic Discectomy in Treating Lumbar Disc Herniation: A Review
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The Clinical Outcomes of Transforaminal Percutaneous Endoscopic Discectomy in Treating Lumbar Disc Herniation: A Review

机译：经椎间孔经皮内镜下椎间盘切除术治疗腰椎间盘突出症的临床结果

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摘要

Percutaneous endoscopic lumbar discectomy (PELD) is a minimally invasive technique started during the late 20th century. This process is done through microscopic view under local anesthesia. There is a growing but still insufficient evidence that lumbar EDS shows slightly better results in terms of minor tissue damage, shorter hospital stay, faster return to ordinary daily activities, and patient satisfaction. Recurrence rate still remains a matter of debate, and is related with the surgical skills of the surgeon. The complication rate seems to be similar in both of the techniques i.e., open and endoscopic. More randomized controlled trials, systematic reviews and meta-analysis are needed to clarify whether lumbar EDS can be considered comparable if not superior to standard open discectomy. In spite of lacking defined clinical evidence, lumbar EDS is without doubt a rapidly expanding PELD and its future developments are incredibly promising. Due to less complication rate this technique can be considered as a gold standard compared to the open discectomy. The surgeons still require more cadaveric practices for learning the curve and to approach the herniated disc area. The main objective of this review article is to show the clinical outcomes of the Transforaminal Percutaneous Endoscopic Discectomy in treating the lumbar disc herniation.
机译：经皮内镜腰椎间盘摘除术（PELD）是一种微创技术，始于20世纪后期。该过程通过局部麻醉下的显微镜观察来完成。越来越多的证据表明，腰部EDS在较小的组织损伤，较短的住院时间，更快的恢复日常活动和患者满意度方面显示出稍好的结果。复发率仍然是一个有争议的问题，并且与外科医生的手术技能有关。在两种技术（即开放式和内窥镜式）中，并发症发生率似乎相似。需要更多的随机对照试验，系统评价和荟萃分析来阐明，即使不优于标准的开放性椎间盘切除术，腰椎EDS是否可以被认为具有可比性。尽管缺乏明确的临床证据，腰椎EDS无疑是一种快速发展的PELD，其未来发展前景令人鼓舞。由于并发症发生率较低，与开放式椎间盘切除术相比，该技术可被视为黄金标准。外科医生仍然需要更多的尸体练习来学习曲线并接近椎间盘突出区域。本文的主要目的是显示经椎间孔经皮内镜下椎间盘切除术治疗腰椎间盘突出症的临床效果。

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