内镜椎间盘切除术后残留症状原因与处理△

Reason and management of residual symptoms after endoscopic discectomy

摘要:

腰椎间盘突出症（lumbar disc herniation, LDH） 是骨科常见疾病之一。近年来，随着脊柱微创手术的发展，经椎间孔内窥镜脊柱手术系统（transforaminal endoscopic surgical system, TESSYS） 因其创口小、损伤程度低、术后恢复快等优势，被广泛应用于腰椎间盘突出症的治疗。而部分患者经内镜治疗后出现了不同程度的术后残留症状，其发生的具体机制未完全明确，且最佳治疗方式的选择仍有争议。笔者基于近年来对于术后残留症状的研究做一综述，分析其发生原因及相关治疗措施，为术后残留症状的临床治疗提供参照方案。

Abstract:

Lumbar disc herniation (LDH) is one of the common orthopedic diseases in the clinic. In recent years, with the developmentof minimally invasive spinal surgery, the transforaminal endoscopic surgery system (TESSYS) is widely used in the treatment of lumbar discherniation due to its small incision, minimizing injury and rapid postoperative recovery. However, some patients have developed postopera-tive residual symptoms in varying degrees after endoscopic treatment, and the specific mechanism of their occurrence is not fully understood,and the choice of the best treatment mode remains controversial. This article reviews the research on postoperative residual symptoms in re-cent years, analyzes the causes and related treatment measures to provide a reference for the clinical management of postoperative residualsymptoms.