在L1/2成功治疗的含有气体的椎间盘,通过全内镜变形外切除术:一个案例报告
Yasushi Inomata1, Ryoji Tominaga1, Ryuichi Watanabe1
1Department of Orthopaedic Surgery, Iwai Orthopaedic Hospital, Tokyo, JPN.
Cureus
|September 29, 2025
概括
全内镜断层切除术 (FED-TFA) 成功治疗了一种罕见的含有气体的腰椎间盘. 这种节能融合技术为复杂的脊柱病例提供了有效的管理.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少的侵入性技术是最小的侵入性技术.
- 腰椎椎间盘的发生
背景情况:
- 含有气体的腰椎间盘是罕见的疾病,记录管理策略有限.
- 以前经过腰部手术的患者在治疗椎间盘方面面临着独特的挑战.
研究的目的:
- 介绍一个成功治疗带有气体的腰椎间盘的案例,使用全内镜断层切除术 (FED-TFA).
- 评估FED-TFA在复杂的上腰椎脊柱水平上的疗效和优势.
主要方法:
- 一个81岁的男性患者的病例报告,有多次腰部手术的病史.
- 通过MRI和CT扫描证实在L1/2处含有气体的磁盘的诊断.
- 通过全内镜断层切除术 (FED-TFA) 进行的外科手术.
主要成果:
- 手术后腿部疼痛的立即和持续缓解 (VAS腿部疼痛从6/10改善到0/10).
- 在一年的随访期内,症状没有复发.
- 在直接内镜可视化下成功地疏散了内气体.
结论:
- 通过变形膜方法 (FED-TFA) 进行全内切除是耐火性含气体腰椎间盘瘤的有效和节能融合的选择.
- FED-TFA绕过了痕组织,保留了后部元素,并避免了副脊髓肌肉解剖,使其适合复杂的病例.
- 这种技术允许直接和受控地去除内气体,解决了这种罕见情况的特殊挑战.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...

