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变形膜内镜切除术是否是复发性腰椎椎间盘的最佳选择? 一个系统的审查

Gerald Musa¹, Medetbek D Abakirov², Naya Arzoumi³

¹Department of Neurological Disease and Neurosurgery, Peoples Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia.

International journal of spine surgery

|January 6, 2025

概括

变形膜内镜切除术 (TFED) 提供了一种对复发性腰椎椎间盘 (rLDH) 最少侵入性的解决方案. 这种技术证明了短的手术时间,最小的血液损失和低的并发症率,使其成为精选患者的可行选择.

科学领域:

神经外科神经外科
最少侵入性的脊柱手术

背景情况:

重复的腰椎间盘 (rLDH) 在脊柱外科手术中提出了重大挑战.
变形膜内切除术 (TFED) 是一种新兴的技术,用于管理rLDH.

研究的目的:

系统地审查TFED在治疗rLDH中的疗效和安全性.
分析诸如并发症,手术持续时间,血液损失和复发率等结果.

主要方法:

进行了对四个电子数据库 (PubMed,Google Scholar,Science Direct,Cochrane) 的系统审查.
包括6项涉及405名为rLDH治疗TFED的患者的研究.
主要结局包括术后并发症,手术长度,失血,住院治疗,疼痛评分和复发.

主要成果:

平均手术持续时间在24到158.74分钟之间,血液损失最小 (0-34.8毫升).
平均复发率为4.4%,与0.7%的进展到融合.
并发症的发生率很低,包括疼痛切除术 (2.7%) 和暂时的神经刺激 (0.1%),没有永久的神经损伤.

结论:

TFED是一种横向的,对rLDH的最小侵入性方法,可以绕过痕组织.
与短暂的手术,最小的血液损失和低并发症概况相关.
对于没有细分不稳定的符合手术标准的rLDH患者来说,TFED是一个有前途的选择.

关键词:

退行性磁盘疾病是一种退行性磁盘疾病.腰部脊柱腰部脊柱腰部脊柱经常发生的腰椎椎间盘.转氨基内镜断层切除术

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