中国现代手术学杂志2025，Vol.29Issue(3)：205-208,4.DOI:10.16260/j.cnki.1009-2188.2025.03.007
经皮腰椎间孔镜技术的早期并发症和处理体会
Early complications and management experience of lumbar foraminal endoscopy technique
陈福扬 1冯玉旭 1徐晓明 1周炜 2任永信2
作者信息
- 1. 南京市浦口人民医院 东南大学附属两江医院脊柱外科,江苏南京 211800
- 2. 江苏省人民医院 南京医科大学附属第一医院脊柱外科,江苏南京 211000
- 折叠
摘要
Abstract
Objective To summarize the early complications and management experience of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation.Methods From January 2020 to January 2024,243 cases of lumbar disc herniation were treated by percutaneous endoscopic lumbar discectomy(PELD)in our department.The causes and treatment measures of complications were summarized,and the prevention strategies were put forward.Results A total of 19 cases of complications occurred in 243 patients,including 4 cases of nerve root injury,2 cases of dural tear,3 cases of intraoperative bleeding,1 case of spinal cord hypertension-like syndrome,5 cases of postoperative paresthesia,2 cases of early postoperative perineal burning pain,and 2 cases of early recurrence of intervertebral disc herniation.Conclusions PELD is charac-terized by minimal trauma,reduced blood loss,rapid recovery,and a proven therapeutic efficacy.However,intra-operative and postoperative complications should not be underestimated.The key procedural imperatives may lie in:precise preoperative identification of the responsible segment,adopting a stepwise approach from simple to complex,mastering the three-dimensional anatomical architecture under microscopic visualization,performing meticulous and gradual maneuvers,and acquiring comprehensive knowledge of potential complications and their perioperative management strategies.These various approaches can emphasize the minimally invasive nature of the procedure while balancing surgical safety and the durability of therapeutic effects.关键词
腰椎间盘突出症/经皮椎间孔镜/早期并发症Key words
lumbar disc herniation/percutaneous foraminoscopy/early complications引用本文复制引用
陈福扬,冯玉旭,徐晓明,周炜,任永信..经皮腰椎间孔镜技术的早期并发症和处理体会[J].中国现代手术学杂志,2025,29(3):205-208,4.
