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作 者:徐宝山[1] XU Bao-shan(Department of Minimally Invasive Spine Surgery,Tianjin Hospital,Tianjin 300211,China)
出 处:《天津医药》2018年第12期1336-1341,共6页Tianjin Medical Journal
基 金:国家自然科学基金计划项目(81272046);天津市应用基础与前沿技术研究计划项目(15JCYBJC25300);天津市卫生行业重点攻关项目(14KG121)
摘 要:近年来微创脊柱外科技术发展迅速,但同时也产生很多争议。第三届中国医药教育协会微创脊柱外科工作组年会针对七个热点问题进行了专题讨论:经皮椎体成形术和后凸成形术的选择及骨水泥灌注量、游离型椎间盘突出症椎间孔镜和椎间盘镜的选择、退变性脊柱侧凸的微创手术策略、腰椎管狭窄症的微创手术选择、颈椎间盘突出症显微镜和内镜的选择、退变性腰椎滑脱微创手术策略、胸椎管狭窄的手术策略;会议充分讨论了各种微创技术的特点、优势和局限性,取得了很多重要共识,有利于各种微创技术的合理应用和发展。In recent years,minimally invasive spinal surgery technology has developed rapidly,but at the same time,there are many controversies.The third annual meeting of the Minimally Invasive Spinal Surgery Working Group of the Chinese Medical Education Association focused on seven hot issues:the selection of percutaneous vertebroplasty and kyphoplasty and the amount of bone cement perfusion;the selection of percutaneous transforaminal endoscopic and microendoscopic discectomy for sequestered disc herniation;the minimally invasive surgical strategy for degenerative scoliosis;minimally invasive options for lumbar spinal stenosis;the choice of microscopy and endoscopy for cervical disc herniation;minimally invasive strategies for degenerative lumbar spondylolisthesis;and the choice of endoscopic and open surgery for thoracic spinal stenosis.The characteristics,advantages and limitations of various minimally invasive techniques have fully discussed,and some consensus has been reached,which is beneficial to development and application of various minimally invasive techniques.
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