椎骨内窥镜手术的有效性。文献综述

S. V. Kolesov, Dmitrij S Gorbatyuk, Arkadij I Kazmin, Nataliya S Morozova , Samir B. Bagirov
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引用次数: 0

摘要

在这篇文献综述中,我们试图描述关节镜脊柱手术的主要可能性和局限性。描述是根据地形原则组织的,针对脊柱的每个区域(颈椎、胸椎、腰椎)。关节镜介入椎体学是一套很有前途和越来越受欢迎的方法。目前,它们的主要应用范围(以及治疗指征)是与神经结构压迫相关的脊柱退行性疾病。根据目前的数据,关节镜方法可以比传统的“开放”手术方法获得更好的功能结果,包括术后疼痛水平更低。该方法发展的主要问题如下:尽量减少内窥镜用于颈椎干预的工作部分;胸椎手术避免解剖限制;扩展了该方法的可能性和适应症。
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Effectiveness of endoscopic operations in vertebrology. Literature review
In this literature review, an attempt was made to describe the main possibilities and limitations of arthroscopic spine surgery. The description is organized according to topographic principle, for each region of the spine (cervical, thoracic, lumbar). Arthroscopic interventions in vertebrology are a set of methods that are promising and gaining popularity. At present, the main scope of their application (and indication for treatment as well) is degenerative diseases of the spine that are associated with nerve structures’ compression. Arthroscopic methods allow, according to present data, to achieve better functional results than conventional ‘open’ surgical methods, including lower pain level at the postoperative period. The main issues for development of the methods are as follows: minimizing the working parts of the endoscope to be used for interventions at the cervical spine; avoidance of anatomic restrictions for operations on the thoracic spine; expanding the possibilities and indications for the method.
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