大通道脊柱内镜下腰椎管减压术治疗腰椎管狭窄症  

Lumbar Spinal Stenosis Treatment with Lumbar Spinal Canal Decompression under Large Channel Spinal Endoscopy

作　　者：杨调 刘扬[1] 彭小军 程冬云 蔡惠丽 包睿智 陈海丹[1] Yang Diao;Liu Yang;Peng Xiaojun;Cheng Dongyun;Cai Huili;Bao Ruizhi;Chen Haidan(Department of Spinal Surgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Orthopedics,Yichang Fifth People's Hospital,Yichang 443000,China;Department of Orthopedics,Changyang Tujia Autonomous County People's Hospital,Changyang 443500,China;Department of Hematology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]脊柱外科,湖北宜昌443003 [2]宜昌市第五人民医院骨科,湖北宜昌443000 [3]长阳土家族自治县人民医院骨科,湖北长阳443500 [4]三峡大学第一临床医学院[宜昌市中心人民医院]血液内科,湖北宜昌443003

出　　处：《巴楚医学》2025年第1期19-22,共4页Bachu Medical Journal

基　　金：湖北省自然科学基金项目(2024AFD130)。

摘　　要：腰椎管狭窄症(LSS)是一种常见的脊柱退行性疾病,患者常表现为间歇性跛行、腰腿痛、下肢肌力减退及感觉异常等症状。腰椎管减压术作为LSS的重要治疗方式之一,可有效解除对神经根及硬膜囊的压迫,缓解临床症状。随着脊柱内镜技术的发展,更多腰椎管狭窄症可在脊柱内镜下完成微创手术。大通道脊柱内镜作为脊柱内镜技术之一,具有手术创伤小、术中出血少、椎旁肌肉与神经损伤轻等优点,患者术后临床症状缓解明显。本文介绍在大通道脊柱内镜下行腰椎管减压术的详细操作步骤,为LSS患者的手术治疗提供参考。Lumbar spinal stenosis(LSS)is a common degenerative spinal disease characterized by symptoms such as intermittent claudication,low back and leg pain,weakness of the lower limbs,and sensory abnormalities.Lumbar spinal decompression surgery,as one of the important treatments for LSS,can effectively relieve the compression on the nerve roots and dural sac,alleviating clinical symptoms.With the development of spinal endoscopic technology,more cases of LSS can be treated with minimally invasive surgery under spinal endoscopy.Large channel spinal endoscopy,as one of the spinal endoscopic techniques,offers advantages such as minimal surgical trauma,less intraoperative bleeding,and less damage to the paraspinal muscles and nerves,resulting in significant relief of clinical symptoms for patients postoperatively.This article introduces the detailed operative steps of lumbar spinal decompression under large channel endoscopy,providing a reference for the surgical treatment of patients with LSS.

关 键 词：大通道脊柱内镜 腰椎管减压术 腰椎管狭窄症 

分 类 号：R687.3[医药卫生—骨科学]