进化,当前趋势和内镜脊柱手术的最新进展
Sharvari Gunjotikar1, Malcolm Pestonji2, Masato Tanaka1
1Department of Orthopedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikkomidorimachi, Minami Ward, Okayama 702-8055, Japan.
Journal of clinical medicine
|June 19, 2024
概括
最少侵入性脊柱手术 (MISS) 对患有脊柱疾病的老年人群提供了显著的好处. 脊柱内镜手术是一种MISS,已经发展为有效治疗更广泛的脊柱疾病.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 最少侵入性的技术
背景情况:
- 老龄化人口面临越来越多的脊髓疾病负担.
- 老年患者经常有并发症,需要不那么侵入性治疗.
- 最少侵入性脊柱手术 (MISS) 提供了诸如减少疼痛和缩短住院时间等好处.
研究的目的:
- 审查内镜脊柱手术的演变和当前应用.
- 突出内镜脊柱手术作为传统脊柱手术的替代方案.
- 评估脊椎疾病内镜技术的进步.
主要方法:
- 使用PubMed进行了全面的文献搜索.
- 分析脊椎内镜手术的历史发展和技术进步.
- 审查当前的应用和支持内镜技术的证据.
主要成果:
- 脊柱内镜手术是MISS的一个子集,提供了类似的好处.
- 技术进步已经扩大了内镜的应用范围,超越了腰椎间盘.
- 目前的内镜技术适用于腰椎狭窄,融合手术和宫/胸部病理.
结论:
- 脊柱内镜手术已经显著发展,为传统方法提供了可行的替代方案.
- 光学和仪器仪表的进步扩大了内镜脊柱手术的范围.
- 越来越多的证据支持内镜技术对各种脊柱疾病的疗效.
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