The choice and application of percutaneous transforaminal endoscopic discectomy and microscopic endoscopic discectomy in the treatment of lumbar disc herniation and stenosis
10.11958/j.issn.0253-9896.2015.11.006
- VernacularTitle:经皮椎间孔镜和椎间盘镜治疗腰椎间盘突出症和椎管狭窄症的选择与应用
- Author:
Baoshan XU
- Publication Type:Journal Article
- Keywords:
lumar vertebrae;
intervertebral disc displacement;
surgical treatment;
endoscopy
- From:
Tianjin Medical Journal
2015;(11):1239-1243
- CountryChina
- Language:Chinese
-
Abstract:
Nowadays, percutaneous transforaminal endoscopic discectomy (PTED) and microscopic endoscopic disecto?my (MED) are common techniques for lumbar disc herniation and stenosis. Similar to traditional fenestration, MED is per?formed via interlamina approach, and is suitable for most cases of lumbar disc herniation and stenosis. And the mobile MED (MMED) used by author is beneficial to expose and manipulation. The PTED is performed during normal saline irrigation via natural transforaminal or interlamina approach. Compared to MED, PTED is less invasive and has relatively limited operat?ing range, which depends on accurate puncture. MED and PTED have their particular standard and skills, and their indica?tion is crossed and complementary. These two techniques can be selected according to specific conditions of patients.
