MED与PTED在腰椎间盘突出症治疗中的应用比较  

Comparison between micro endoscopic discectomy and percutaneous transformational endoscopic discectomy for lumbar disc herniation syndrome

作　　者：宋富立 倪建峰 何世达 池洪波 王振山[1] SONG Fu-li;NI Jian-feng;HE Shi-da;CHI Hong-bo;WANG Zhen-shan(Center for Emergency Treatment and Rehabilitation,the 254th Hospital of the PLA,Tianjin 300020,China)

机构地区：[1]解放军254医院急救康复中心,天津300020

出　　处：《医疗卫生装备》2018年第9期98-102,106,共6页Chinese Medical Equipment Journal

摘　　要：介绍了后路显微内窥镜下椎间盘切除术(micro endoscopic discectomy,MED)和经皮椎间孔镜椎间盘切除术(percutaneous transformational endoscopic discectomy,PTED)的临床应用,分析比较了2种术式各自的适应证、手术时间及出血量、术后疗效及并发症,阐明了PTED在软组织保护、出血量等方面具有优势,而MED则在远期疗效方面更稳定。指出了临床医生应根据自身特点,结合患者情况及脊柱内镜特点,综合考虑选择何种术式。Micro endoscopic discectomy（MED） and percutaneous transformational endoscopic discectomy（PTED） had their clinical application introduced, and then were compared on indication, operating time, amount of bleeding, postoperative efficacy and complications. It＇s proved PTED gained advantages in soft tissue protection, amount of bleeding and etc, while MED behaved better in prostecdtive efficacy. It＇s suggested that the doctor select the modus operandi according to the patient conditions, the characteristics of spinal endoscopy and etc.

关 键 词：后路显微内窥镜下椎间盘切除术 经皮椎间孔镜椎间盘切除术 腰椎间盘突出症 脊柱内镜 并发症 适应证 

分 类 号：R318[医药卫生—生物医学工程] R45[医药卫生—基础医学]