内镜椎间盘切除术后残留症状原因与处理  

Reason and management of residual symptoms after endoscopic discectomy

作　　者：林顺 刘锦涛[2] 姜宏[2] 俞鹏飞[2] LIN Shun;LIU Jin-tao;JIANG Hong;YU Pengfei(Nanjing University of Traditional Chinese Medicine,Nanjing 210046,China;Suzhou Hospital of Traditional Chinese Medicine,Suzhou 215009,China)

机构地区：[1]南京中医药大学,江苏南京210046 [2]南京中医药大学附属苏州市中医医院,江苏苏州215009

出　　处：《中国矫形外科杂志》2024年第1期61-66,共6页Orthopedic Journal of China

基　　金：国家自然科学基金项目(编号:82004393,82074467);江苏省自然科学基金项目(编号:BK20190191,BK20201180);苏州市科技发展计划项目(编号:SKJY2021135)。

摘　　要：腰椎间盘突出症(lumbar disc herniation,LDH)是骨科常见疾病之一。近年来,随着脊柱微创手术的发展,经椎间孔内窥镜脊柱手术系统(transforaminal endoscopic surgical system,TESSYS)因其创口小、损伤程度低、术后恢复快等优势,被广泛应用于腰椎间盘突出症的治疗。而部分患者经内镜治疗后出现了不同程度的术后残留症状,其发生的具体机制未完全明确,且最佳治疗方式的选择仍有争议。笔者基于近年来对于术后残留症状的研究做一综述,分析其发生原因及相关治疗措施,为术后残留症状的临床治疗提供参照方案。Lumbar disc herniation(LDH)is one of the common orthopedic diseases in the clinic.In recent years,with the developmentof minimally invasive spinal surgery,the transforaminal endoscopic surgery system(TESSYS)is widely used in the treatment of lumbar discherniation due to its small incision,minimizing injury and rapid postoperative recovery.However,some patients have developed postopera-tive residual symptoms in varying degrees after endoscopic treatment,and the specific mechanism of their occurrence is not fully understood,and the choice of the best treatment mode remains controversial.This article reviews the research on postoperative residual symptoms in re-cent years,analyzes the causes and related treatment measures to provide a reference for the clinical management of postoperative residualsymptoms.

关 键 词：腰椎间盘突出症 内镜术后残留症状 发生机制 临床治疗 综述文献 

分 类 号：R687[医药卫生—骨科学]