层间内镜逆侧压缩解压:通过标准化机动和命名法,重新定义技术
Prasad Patgaonkar1, Tanmay Avhad1, Vidit Pathak1
1Department of Spine Surgery, Indore Spine Centre and CHL Care Hospital, Indore, India.
Asian spine journal
|February 4, 2026
概括
本研究介绍了用于双边减压 (LE-ULBD) 的腰椎内镜单侧拉米切除术的标准化术语和操作方法. 该技术提高了治疗腰椎脊柱狭窄症的可视化和精度,提高了安全性和一致性.
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:
- 腰椎脊柱狭窄症需要进行手术减压.
- 传统的开放性手术具有显著的发病率.
- 最少侵入性内镜技术提供优势,但具有的学习曲线.
研究的目的:
- 引入标准化术语和特定的内镜-摄像机机动,用于腰部内镜单侧拉米切除术的双边减压 (LE-ULBD).
- 为了提高可视化,精度和可复制性在内镜腰部减压.
- 解决与LE-ULBD相关的技术挑战和学习曲线.
主要方法:
- 用度度格式 (例如,0-0,90-0) 对内镜和摄像头旋转的标准描述.
- 在ipsilateral和contralateral减压过程中针对性解剖访问的系统方法.
- 专注于尽量减少不必要的骨移除,并改善手术期间的沟通.
主要成果:
- 描述的技术有助于重现,有针对性地访问关键的解剖结构.
- 改进的可视化和精度可能会减少因不充分解压或可视化不良而导致的并发症.
- 标准化方法有助于培训和内部操作沟通.
结论:
- 标准化的术语和操作提高了LE-ULBD的安全性,精度和一致性.
- 这种系统的方法可以帮助克服腰椎内镜的技术复杂性.
- 该技术旨在改善训练,减少并发症,并标准化内镜脊柱狭窄症治疗的结果.
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