Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disk Herniation
Percutaneous Transforaminal Endoscopic Discectomy for Lumbar Disk Herniation
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DOI：
10.1097/bsd.0000000000000366
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发表时间：
2016-11-01
影响因子：
1.9
通讯作者：
Harhangi, Biswadjiet S.
中科院分区：
文献类型：
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作者：
Gadjradj, Pravesh S.;Harhangi, Biswadjiet S.
经皮椎间孔内窥镜椎间盘切除术（PTED）是一种从侧面入路治疗腰椎间盘突出症的微创技术。 PTED 在局部麻醉下进行，切口大小约为 8 毫米，不会切割椎旁肌肉或使其插入脱离。与传统的开放式显微椎间盘切除术相比，PTED 具有更少的失血、更快的康复和更少的组织疤痕。尚未进行比较 PTED 与开放式显微椎间盘切除术的高质量随机对照试验。然而，PTED 已被证明是一种有效的技术，使患者在手术后仅 2 小时即可回家。通过本文和视频（补充数字内容 1，http://links.lww.com/CLINSPINE/A1），我们想向脊柱外科医生展示 PTED 技术治疗单节段腰椎间盘突出症。
Percutaneous transforaminal endoscopic discectomy (PTED) is a minimally invasive technique to treat lumbar disk herniation from a lateral approach. Performed under local anesthesia, the incision size for PTED is around 8mm with no paraspinal muscle cutting or detachment from their insertion. PTED has been associated with less blood loss, faster rehabilitation, and less scarring of tissue than conventional open microdiscectomy. High-quality randomized controlled trials comparing PTED with open microdiscectomy have not been conducted yet. However, PTED has been proven to be an effective technique allowing patients to return home only 2 hours after surgery. By the means of this article and video (Supplemental Digital Content 1, http://links.lww.com/CLINSPINE/A1), we would like to show the spine surgeon the PTED technique for the treatment of a single-level lumbar disk herniation.