椎间孔成形在脊柱内镜下经椎间孔入路腰椎间盘切除术中的精准应用及展望  

Research progress of intervertebral foramen shaping in transforaminal endoscopic lumbar discectomy via the intervertebral foramen approach

作　　者：刘汯林 陈凯 高梓博 黄澄宇 李永津[1,2,3] LIU Honglin;CHEN Kai;GAO Zibo;HUANG Chengyu;LI Yongjin(The Second Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510405,Guang-dong,China;不详)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院骨伤科专科医院,广东广州510120 [3]广东省中医证候临床研究重点实验室,广东广州510120

出　　处：《实用医学杂志》2025年第8期1123-1129,共7页The Journal of Practical Medicine

基　　金：国家自然科学基金项目(编号:82274554);广东省自然科学基金项目(编号:2021A1515011474);广东省科技计划项目(编号:2023B1212060063);广州市科技计划市校院联合资助项目(编号:202102010012);广东省中医院拔尖人才资助专项(编号:BJ2022YL07)。

摘　　要：随着脊柱微创技术的飞速进步与可视化理念的日益成熟,脊柱内镜下椎间孔入路腰椎间盘切除术已成为手术治疗腰椎间盘突出症的主要手段。其中,椎间孔成形作为手术的关键前置步骤,其操作质量直接影响手术的疗效及患者术后复发率。该文全面回顾椎间孔成形技术理念发展,探讨成形部位选择与应用,分析影响腰椎椎间孔成形术后稳定性的因素,并介绍计算机辅助导航的最新进展,旨在为临床医师提供参考。With the rapid advancements in minimally invasive spine surgery and the increasingly sophisti-cated concept of visualization,transforaminal endoscopic lumbar discectomy(TELD)has become a primary treatment for lumbar disc herniation.Among the critical preoperative steps in TELD,foraminalplasty plays a pivotal role,as its quality directly impacts surgical outcomes and postoperative recurrence rates.This article systemati-cally reviews the evolution of foraminalplasty techniques,evaluates the selection and application of plasty sites,examines factors influencing stability after lumbar foraminalplasty,and highlights recent advancements in computer-assisted navigation.The goal is to serve as a comprehensive reference for clinicians.

关 键 词：椎间孔成形 脊柱内镜 椎间孔入路 腰椎间盘突出症 脊柱微创 

分 类 号：R6[医药卫生—外科学]