临床神经外科杂志2025，Vol.22Issue(3)：352-355,4.DOI:10.3969/j.issn.1672-7770.2025.03.021
极外侧入路显微镜微通道技术治疗极外侧型腰椎间盘突出3例报告并文献复习
Therapeutic effect of microchannel technique under microscope via extreme lateral approach in the treatment of extreme lateral lumbar disc herniation:report of 3 cases and literature review
摘要
Abstract
Objective To investigate the effect of using extreme lateral approach under microscope and microchannel technology for surgical treatment of extradiscal herniation.Methods The clinical data of 3 cases of extreme lateral disc herniation who were surgically treated with the extreme lateral approach microscope microchannel technology in Hejiang City People's Hospital from August 2021 to September 2024 were retrospectively analyzed and the relevant literature were reviewed.Results All 3 cases were located at the L4/5 segment.During the operation,it was confirmed that they were extremely lateral disc herniation.After successful discectomy,the nerve decompression effect was definite,there was no cerebrospinal fluid leakage,and no incision or central nervous system infection occurred.The symptoms of the three cases disappeared completely during the 3-12 months of follow-up after surgery.No spinal instability was found in the postoperative X-ray examination.Conclusions The extreme lateral approach with microchannel technology is used to treat extreme lateral disc herniation.The operation time is short,the trauma is small,the effect is definite with a low recurrence rate,and the impact on spinal stability is small.关键词
极外侧型腰椎间盘突出/显微手术/微通道/疗效Key words
extreme lateral lumbar disc herniation/microsurgery/microchannels/outcome分类
临床医学引用本文复制引用
汪棋笙,杨鑫,唐清明,李华国,徐辉,韩晋,侯黎明,刘亮..极外侧入路显微镜微通道技术治疗极外侧型腰椎间盘突出3例报告并文献复习[J].临床神经外科杂志,2025,22(3):352-355,4.基金项目
四川省医学青年创新科研课题立项项目(Q22024) （Q22024）
