单侧双门内镜手术用于腹腔内腰椎间盘:说明案例
Xuyang Xu1, Ayesha Habiba Jamal1, Zijie Wang1
1Yangzhou University Medical College, Yangzhou City, Jiangsu Province.
Journal of neurosurgery. Case lessons
|January 26, 2026
概括
单侧双门内镜 (UBE) 技术成功地切除了B型腹腔内椎间盘 (IDH),没有修复神经根盖或脑脊液泄漏. 这突出了UBE的特点.
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:
- 乙型腹腔内腰椎间盘 (IDH) presents独特的外科手术挑战.
- 单侧双门内镜 (UBE) 技术为脊柱手术提供了一种最少的侵入性方法.
研究的目的:
- 评估UBE技术在管理B型IDH时的有效性和安全性.
- 为了证明UBE对B型IDH的诊断和治疗能力.
主要方法:
- 一名82岁的男性患者患有多层腰椎间盘,经历了UBE辅助切除椎间盘和细膜整形手术.
- 在手术内内镜可视化检测出B型的IDH.
- 在切割了神经根盖后,切除了的核脉,神经根盖是故意没有修复的.
主要成果:
- 通过UBE技术成功去除B型IDH.
- 尽管神经根外未经修复,但并没有发生脑脊液 (CSF) 泄漏.
- 该程序证实了UBE对B型IDH的诊断和治疗实用性.
结论:
- 对神经根上白色,质状突起的内镜可视化表明B型IDH.
- 沿其方向切割神经根盖,可以安全地去除椎间板的材料.
- 无需修复神经根盖,UBE有助于在没有CSF泄漏的情况下安全管理B型IDH.
相关概念视频
Endoscopic Studies II: Thoracocentesis
1.4K
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.4K
Endoscopic Procedures I: Esophagogastroduodenoscopy
1.1K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
1.1K
Endoscopic Procedures II: Colonoscopy
701
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
701
Endoscopic Procedures V: ERCP
3.2K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
3.2K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
595
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
595
Ultrasound II: Endoscopic Ultrasound and FibroScan
643
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
643


