CT引导内镜腰椎间盘切除术的流程及配套措施△

Procedure and supporting measures of CT- guided endoscopic lumbar discectomy

摘要:

CT 引导内镜腰椎间盘切除术是作者团队在 C 形臂 X 线机透视定位的基础上探索出的一种个性化治疗腰椎间盘突出症的手术模式。其流程大体划分为基础建设、术前准备、手术方法和术后康复 4 个环节阶段。而每个环节阶段都需要相应的细化配套措施，或者是设备一类的硬件因素，或者是医护培训、患者配合的软件措施。作者历经十多年、5 000 余例的创新实践，积累了较为成熟的经验，特做梳理总结，为后续研究者提供参考。

Abstract:

This CT guided endoscopic lumbar discectomy is a surgical mode developed by the author's team on the basis of endoscopic discectomy under C-arm fluoroscopy for individualized treatment of lumbar disc herniation. Performing this procedure might be divided into four aspects, including basic construction, preoperative preparation, operation manipulation and postoperative rehabilitation. Each aspect needs the detailed supporting measures accordingly, involving hardware factors such as equipment, or software measures such as medical staff training and patient cooperation. After more than 10 years of innovation and practice, more than 5 000 cases experience has been accu- mulated with mature characteristics. In this paper, we summarize our experience to provide a reference for junior clinician.