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全内镜脊柱手术:它的作用和局限性

¹Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea.

Journal of Korean Neurosurgical Society

|May 8, 2025

概括

全内镜脊柱手术 (FESS) 为各种脊柱疾病提供了一种最少的侵入性方法,扩大了诊断范围,超出了椎间盘. 进步使FESS能够治疗退行性疾病,感染和瘤,尽管存在学习曲线.

科学领域:

神经外科神经外科
整形外科手术整形外科手术
最少侵入性手术的方法

背景情况:

最少侵入性脊柱手术 (MISS) 的目的是减少组织破坏.
全内镜脊柱手术 (FESS) 是一种使用单门内镜的先进MISS技术.
在FESS程序中使用连续的盐水 perfusion.

研究的目的:

审查FESS的演变和当前应用.
突出FESS的优势和局限性.
讨论内镜脊柱手术的未来潜力.

主要方法:

使用单门工作通道内镜进行皮肤穿透的方法.
连续的盐水 perfusion 用于可视化和灌.
在多种脊柱病理的频谱中应用.

主要成果:

FESS有效地减压组织,并允许仪器仪表,同时保持肌肉骨结构.
与传统方法相比,FESS提供了更少的并发症和更快的恢复时间.
指示已经从椎间盘扩展到退行性疾病,感染,创伤和瘤.

结论:

在许多脊椎疾病中,FESS是一种非常有效的技术.
尽管学习曲线很,但FESS技术正在迅速发展.
脊柱内镜手术即将成为一种标准的治疗方法.

关键词:

内镜检查是指内镜检查.形成氨基切除术形成氨基切除术椎间盘椎间盘的发生这是一种拉米内克托米 (laminectomy).脊柱狭窄症脊柱狭窄症脊柱狭窄症

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