实用医学杂志2025,Vol.41Issue(8):1123-1129,7.DOI:10.3969/j.issn.1006-5725.2025.08.006
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
摘要
Abstract
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Key words
foraminoplasty/spinal endoscopy/transforaminal approach/lumbar disc herniation/spinal minimally invasive分类
临床医学引用本文复制引用
刘汯林,陈凯,高梓博,黄澄宇,李永津..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[J].实用医学杂志,2025,41(8):1123-1129,7.基金项目
国家自然科学基金项目(编号:82274554) (编号:82274554)
广东省自然科学基金项目(编号:2021A1515011474) (编号:2021A1515011474)
广东省科技计划项目(编号:2023B1212060063) (编号:2023B1212060063)
广州市科技计划市校院联合资助项目(编号:202102010012) (编号:202102010012)
广东省中医院拔尖人才资助专项(编号:BJ2022YL07) (编号:BJ2022YL07)