The Journal of Practical Medicine ›› 2025, Vol. 41 ›› Issue (8): 1123-1129.doi: 10.3969/j.issn.1006-5725.2025.08.006
• Clinical Advances • Previous Articles
Honglin LIU1,Kai CHEN1,Zibo GAO1,Chengyu HUANG1,Yongjin. LI1,2,3()
Received:
2024-12-13
Online:
2025-04-25
Published:
2025-04-30
Contact:
Yongjin. LI
E-mail:lyj2106@126.com
CLC Number:
Honglin LIU,Kai CHEN,Zibo GAO,Chengyu HUANG,Yongjin. LI. Research progress of intervertebral foramen shaping in transforaminal endoscopic lumbar discectomy via the intervertebral foramen approach[J]. The Journal of Practical Medicine, 2025, 41(8): 1123-1129.
1 |
中华医学会骨科学分会脊柱外科学组, 中华医学会骨科学分会骨科康复学组. 腰椎间盘突出症诊疗指南 [J]. 中华骨科杂志, 2020, 40(8): 477-487. doi:10.3760/cma.j.cn121113-20200402-00213
doi: 10.3760/cma.j.cn121113-20200402-00213 |
2 | 孙剑峰, 邓建伟, 张迪, 等. 通络活血酊联合杵针治疗血瘀气滞型腰椎间盘突出症的疗效 [J]. 实用医学杂志, 2022, 38(9): 1147-1151. |
3 |
SAIRYO K, CHIKAWA T, NAGAMACHI A. State-of-the-art transforaminal percutaneous endoscopic lumbar surgery under local anesthesia: Discectomy, foraminoplasty, and ventral facetectomy [J]. J Orthop Sci, 2018, 23(2): 229-236. doi:10.1016/j.jos.2017.10.015
doi: 10.1016/j.jos.2017.10.015 |
4 |
马学晓. 侧入路脊柱内镜技术的理念变迁 [J]. 西安交通大学学报(医学版), 2022, 43(1): 13-17. doi:10.7652/jdyxb202201003
doi: 10.7652/jdyxb202201003 |
5 | PAN M, LI Q, LI S, et al. Percutaneous Endoscopic Lumbar Discectomy: Indications and Complications [J]. Pain Physician, 2020, 23(1): 49-56. |
6 | YEUNG A T, YEUNG C A. Advances in endoscopic disc and spine surgery: Foraminal approach [J]. Surg Technol Int, 2003, 11: 255-263. |
7 |
HOOGLAND T, SCHUBERT M, MIKLITZ B, et al. Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: Aprospective randomized study in 280 consecutive cases [J]. Spine (Phila Pa 1976), 2006, 31(24): E890-E897. doi:10.1097/01.brs.0000245955.22358.3a
doi: 10.1097/01.brs.0000245955.22358.3a |
8 |
李文高, 王文斌. 经皮椎间孔镜下腰椎间盘切除术治疗老年极外侧型腰椎间盘突出症 [J]. 颈腰痛杂志, 2023, 44(3): 430-433. doi:10.3969/j.issn.1005-7234.2023.03.032
doi: 10.3969/j.issn.1005-7234.2023.03.032 |
9 |
苗得成, 李亚伟. 经皮椎间孔镜和可动式椎间盘镜技术在游离型腰椎间盘突出症治疗中应用价值比较 [J]. 中国临床医生杂志, 2022, 50(2): 204-207. doi:10.3969/j.issn.2095-8552.2022.02.024
doi: 10.3969/j.issn.2095-8552.2022.02.024 |
10 | 杨刚, 田雅峰, 于健, 等. 经皮椎间孔镜技术治疗腰椎间盘突出合并侧隐窝狭窄患者的临床效果 [J]. 中国医药导报, 2022, 19(36): 36-40. |
11 |
KIM H S, RAORANE H D, WU P H, et al. Evolution of endoscopic transforaminal lumbar approach for degenerative lumbar disease [J]. J Spine Surg, 2020, 6(2): 424-37. doi:10.21037/jss.2019.11.05
doi: 10.21037/jss.2019.11.05 |
12 |
LEE C W, YOON K J, HA S S, et al. Foraminoplastic Superior Vertebral Notch Approach with Reamers in Percutaneous Endoscopic Lumbar Discectomy : Technical Note and Clinical Outcome in Limited Indications of Percutaneous Endoscopic Lumbar Discectomy [J]. J Korean Neurosurg Soc, 2016, 59(2): 172-181. doi:10.3340/jkns.2016.59.2.172
doi: 10.3340/jkns.2016.59.2.172 |
13 |
LEWANDROWSKI K U. The strategies behind "inside-out" and "outside-in" endoscopy of the lumbar spine: treating the pain generator [J]. J Spine Surg, 2020, 6(): S35-S39. doi:10.21037/jss.2019.06.06
doi: 10.21037/jss.2019.06.06 |
14 | 周逸驰, 刘伟军, 黎清波, 等. 应用可视骨凿精准成形在全可视脊柱内镜下手术治疗腰椎间盘突出症的疗效分析 [J]. 中国脊柱脊髓杂志, 2023, 33(12): 1084-1090. |
15 | 吕成国, 杨勇, 孙宜保, 等. 可视环锯椎间孔成形经皮椎间孔镜椎间盘切除术 [J]. 中国矫形外科杂志, 2024, 32(4): 296-302. |
16 | 高博, 刘杨, 于长水, 等. PETD与Endo-Surgical治疗L4、5椎间盘突出症的疗效比较 [J]. 中国骨与关节损伤杂志, 2021, 36(5): 472-475. |
17 | 钟伟建, 黎顺平, 王云娜, 等. 可视化环锯关节突成形辅助椎间孔镜治疗腰椎间盘突出症 [J]. 中国骨伤, 2023, 36(1): 12-16. |
18 |
YANG J S, CHU L, CHEN C M, et al. Foraminoplasty at the Tip or Base of the Superior Articular Process for Lateral Recess Stenosis in Percutaneous Endoscopic Lumbar Discectomy: A Multicenter, Retrospective, Controlled Study with 2-Year Follow-Up [J]. Biomed Res Int, 2018, 2018: 7692794. doi:10.1155/2018/7692794
doi: 10.1155/2018/7692794 |
19 |
SCHUBERT M, HOOGLAND T. Endoscopic transforaminal nucleotomy with foraminoplasty for lumbar disk herniation [J]. Oper Orthop Traumatol, 2005, 17(6): 641-661. doi:10.1007/s00064-005-1156-9
doi: 10.1007/s00064-005-1156-9 |
20 | 张玉良,吴宏飞. 经皮椎间孔镜关节突尖部成型在腰椎间盘突出症中的应用[C]//浙江省医学会骨科学分会. 2015年浙江省骨科学学术年会论文汇编——脊柱专题.浙江杭州,2015:68. |
21 |
QIAO P, XU T, ZHANG W, et al. Foraminoplasty affects the clinical outcomes of discectomy during percutaneous transforaminal endoscopy: A two-year follow-up retrospective study on 64 patients [J]. Int J Neurosci, 2021, 131(1): 1-6. doi:10.1080/00207454.2020.1732968
doi: 10.1080/00207454.2020.1732968 |
22 | 章朋朋, 桂召柳, 夏太保, 等. 经皮椎间孔镜关节突尖部成型在腰椎间盘突出症中的应用 [J]. 蚌埠医学院学报, 2021, 46(8): 1066-1068. |
23 |
LIU X, PENG Y, PEI L, et al. Sufficient Lumbar Lateral Recess Decompression Acquired by Undercutting "Superior Articular Process Neck" Plus Intervertebral Disk Annuloplasty in Percutaneous Transforaminal Endoscopic Surgery [J]. Med Sci Monit, 2020, 26: e921119. doi:10.12659/msm.921119
doi: 10.12659/msm.921119 |
24 |
CHOI G, LEE S H, LOKHANDE P, et al. Percutaneous endoscopic approach for highly migrated intracanal disc herniations by foraminoplastic technique using rigid working channel endoscope [J]. Spine (Phila Pa 1976), 2008, 33(15): E508-E515. doi:10.1097/brs.0b013e31817bfa1a
doi: 10.1097/brs.0b013e31817bfa1a |
25 |
CHANG H, LI Z, ZHANG Y, et al. Full-Endoscopic Foraminoplasty and Lumbar Discectomy for Single-Level Lumbar Disc Herniation [J]. J Vis Exp, 2024(205). doi:10.379166124 .
doi: 10.379166124 |
26 | 利锦, 何升华. 椎间孔腹侧成形技术治疗L3-4脱垂型椎间盘突出症34例[J]. 颈腰痛杂志, 2023, 44(3): 415-417. |
27 |
LIN L, KE Z Y, CHU L, et al. Full-endoscopic lumbar discectomy via lateral superior articular process approach for treating far lateral lumbar disc herniation: A retrospective study and technical note [J]. Int Orthop, 2023, 47(11): 2843-2850. doi:10.1007/s00264-023-05937-0
doi: 10.1007/s00264-023-05937-0 |
28 |
HASAN S, WHITE-DZURO B, BARBER J K, et al. The Endoscopic Trans-Superior Articular Process Approach: A Novel Minimally Invasive Surgical Corridor to the Lateral Recess [J]. Oper Neurosurg (Hagerstown), 2020, 19(1): E1-E10. doi:10.1093/ons/opaa054
doi: 10.1093/ons/opaa054 |
29 | 王建华, 程翰林, 黄顺水, 等. 两种内镜手术治疗脱出游离型腰椎间盘突出症的近期疗效比较 [J]. 颈腰痛杂志, 2020, 41(1): 71-74. |
30 | 石志伟, 吴建明, 牛亚辉, 等. 经皮内窥镜下两种入路治疗腰5/骶1椎间盘突出症对比研究 [J]. 实用医学杂志, 2024, 40(6): 807-813. |
31 | LI Z Z, HOU S X, SHANG W L, et al. Modified Percutaneous Lumbar Foraminoplasty and Percutaneous Endoscopic Lumbar Discectomy: Instrument Design, Technique Notes, and 5 Years Follow-up [J]. Pain Physician, 2017, 20(1): E85-E98. |
32 |
LI Z Z, HOU S X, SHANG W L, et al. Percutaneous lumbar foraminoplasty and percutaneous endoscopic lumbar decompression for lateral recess stenosis through transforaminal approach: Technique notes and 2 years follow-up [J]. Clin Neurol Neurosurg, 2016, 143: 90-94. doi:10.1016/j.clineuro.2016.02.008
doi: 10.1016/j.clineuro.2016.02.008 |
33 | 李利军, 宋洁富, 海涌, 等. 椎间孔镜按需成型5级法在经椎间孔入路治疗腰椎退变性疾病中的应用分析 [J]. 中华显微外科杂志, 2022, 45(3): 325-329. |
34 | 陈树东, 李永津, 苏国义, 等. 基于腰椎间盘突出的不同类型及节段探讨经皮椎间孔镜的术前规划 [J]. 中国中医骨伤科杂志, 2023, 31(1): 84-88. |
35 | 方锋助, 牒军, 李展奇, 等. 经皮椎间孔镜椎间盘切除术治疗腰椎间盘突出症复发情况及影响因素分析 [J]. 陕西医学杂志, 2021, 50(3): 297-300. |
36 |
YANG J, LIU R, MIAO Y, et al. Risk Factors for Recurrence After Percutaneous Endoscopic Lumbar Discectomy: A Meta-Analysis [J]. World Neurosurg, 2023, 172: 88-93. doi:10.1016/j.wneu.2023.02.009
doi: 10.1016/j.wneu.2023.02.009 |
37 |
ZHOU Y, HUANG R L, LIU Y, et al. Construction and validation: A nomogram model to predict recurrence after percutaneous endoscopic discectomy [J]. Medicine (Baltimore), 2024, 103(49): e40828. doi:10.1097/md.0000000000040828
doi: 10.1097/md.0000000000040828 |
38 |
ZHAO J, ZENG L, ZHAO S, et al. Associations of recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy with age, body mass index, modic change, disc degeneration and sacral slope: A quantitative review [J]. Exp Ther Med, 2024, 27(5): 195. doi:10.3892/etm.2024.12483
doi: 10.3892/etm.2024.12483 |
39 | 赵玉果, 叶向阳, 程省. 腰椎间盘突出症患者行经皮椎间孔镜髓核摘除术术后复发的列线图模型构建 [J]. 中华实用诊断与治疗杂志, 2024, 38(10): 1034-1039. |
40 | 冯德伟, 逄树婷, 孙盼, 等. 两种手术方式治疗不同Pfirrmann分级腰椎间盘突出症的疗效分析 [J]. 中国骨与关节损伤杂志, 2022, 37(5): 458-463. |
41 | 李家华, 路友群, 薛刚, 等. 个体化预测经皮椎间孔镜下微创技术治疗老年腰椎间盘突出症术后恢复不佳的风险模型建立 [J]. 颈腰痛杂志, 2023, 44(4): 604-607,610. |
42 |
YU C, ZHAN X, LIU C, et al. Risk Factors for Recurrent L5-S1 Disc Herniation After Percutaneous Endoscopic Transforaminal Discectomy: A Retrospective Study [J]. Med Sci Monit, 2020, 26: e919888. doi:10.12659/msm.919888
doi: 10.12659/msm.919888 |
43 |
ZHANG X, LIN J, LIU C, et al. Biomechanical changes in lumbar intervertebral discs after percutaneous endoscopic transforaminal discectomy surgery at different Body Mass Index (BMI) categories [J]. J Orthop Surg Res, 2024, 19(1): 875. doi:10.1186/s13018-024-05319-1
doi: 10.1186/s13018-024-05319-1 |
44 |
WANG F, CHEN K, LIN Q, et al. Earlier or heavier spinal loading is more likely to lead to recurrent lumbar disc herniation after percutaneous endoscopic lumbar discectomy [J]. J Orthop Surg Res, 2022, 17(1): 356. doi:10.1186/s13018-022-03242-x
doi: 10.1186/s13018-022-03242-x |
45 | 李杰, 张杰锋, 李益明, 等. 椎间孔镜术中骨钻与环锯关节突成形的比较[J]. 中国矫形外科杂志, 2019, 27(7): 597-601. |
46 | 赵阳阳, 范东娇, 樊格林, 等. 自制新型骨钻应用于L5/S1椎间盘突出症手术的效果 [J]. 局解手术学杂志, 2024, 33(7): 610-613. |
47 | 张黎明, 杨晋才, 尹鹏, 等. 采用改良经椎间孔内窥镜脊柱系统行经皮椎间孔成形术治疗老年腰椎椎间盘突出症 [J]. 脊柱外科杂志, 2020, 18(5): 305-309. |
48 |
SUN J, WANG J, WU R, et al. Comparison of bone reamer and trephine for foraminoplasty in percutaneous endoscopic lumbar discectomy based on 3D slicer and Digimizer software [J]. J Orthop Surg Res, 2024, 19(1): 55. doi:10.1186/s13018-023-04270-x
doi: 10.1186/s13018-023-04270-x |
49 | 张国强, 杨雍, 谢学虎, 等. 全内镜可视化技术辅助动力磨钻经椎间孔入路治疗腰椎间盘突出症的近期临床疗效 [J]. 临床和实验医学杂志, 2022, 21(10): 1067-1071. |
50 | 谢学虎, 张国强, 刘宁, 等. 全可视化脊柱内镜辅助动力磨钻与环锯两种关节突成形工具在治疗腰椎间盘突出症的早期临床疗效比较 [J]. 临床和实验医学杂志, 2023, 22(23): 2524-2527. |
51 |
LIU C, WANG J, ZHOU Y. Perioperative complications associated with minimally invasive surgery of oblique lumbar interbody fusions for degenerative lumbar diseases in 113 patients [J]. Clin Neurol Neurosurg, 2019, 184: 105381. doi:10.1016/j.clineuro.2019.105381
doi: 10.1016/j.clineuro.2019.105381 |
52 |
LI J, LI H, HE Y, et al. The protection of superior articular process in percutaneous transforaminal endoscopic discectomy should decreases the risk of adjacent segment diseases biomechanically [J]. J Clin Neurosci, 2020, 79: 54-59. doi:10.1016/j.jocn.2020.07.025
doi: 10.1016/j.jocn.2020.07.025 |
53 | 李瑞, 孙兆忠, 房清敏, 等. 椎间孔镜TESSYS技术上关节突磨削程度对腰椎稳定性的影响 [J]. 中国矫形外科杂志, 2018, 26(10): 898-903. |
54 | 苏军强, 赵斌, 王永峰, 等. 脊柱内镜不同程度椎间孔一次成形对腰椎稳定性影响[J]. 临床骨科杂志, 2020, 23(3): 449-453. |
55 |
YU Y, ZHOU Q, XIE Y Z, et al. Effect of Percutaneous Endoscopic Lumbar Foraminoplasty of Different Facet Joint Portions on Lumbar Biomechanics: A Finite Element Analysis [J]. Orthop Surg, 2020, 12(4): 1277-1284. doi:10.1111/os.12740
doi: 10.1111/os.12740 |
56 | 林涌鹏, 李永津, 陈博来, 等. 电磁导航与C臂透视引导经皮椎间孔镜手术治疗腰椎间盘突出症的疗效比较:2年随访 [J]. 实用医学杂志, 2021, 37(21): 2733-2738. |
57 |
LIN X, CHANG Q, SHANG L, et al. A comparison of ultrasound volume navigation, O-arm navigation, and X-ray guidance for screw placement in minimally invasive transforaminal lumbar interbody fusion: A randomized controlled trial [J]. Eur Spine J, 2024, 33(9): 3457-3466. doi:10.1007/s00586-024-08390-8
doi: 10.1007/s00586-024-08390-8 |
58 |
ZHAO Y, BO X, WANG C, et al. Guided Punctures with Ultrasound Volume Navigation in Percutaneous Transforaminal Endoscopic Discectomy: A Technical Note [J]. World Neurosurg, 2018, 119: 77-84. doi:10.1016/j.wneu.2018.07.185
doi: 10.1016/j.wneu.2018.07.185 |
59 |
LIN Y, RAO S, CHEN B, et al. Electromagnetic navigation-assisted percutaneous endoscopic foraminoplasty and discectomy for lumbar disc herniation: Technical note and preliminary results [J]. Ann Palliat Med, 2020, 9(6): 3923-3931. doi:10.21037/apm-20-1956
doi: 10.21037/apm-20-1956 |
60 |
HAHN P, OEZDEMIR S, KOMP M, et al. A New Electromagnetic Navigation System for Pedicle Screws Placement: A Human Cadaver Study at the Lumbar Spine [J]. PLoS One, 2015, 10(7): e0133708. doi:10.1371/journal.pone.0133708
doi: 10.1371/journal.pone.0133708 |
61 |
HAHN P, OEZDEMIR S, KOMP M, et al. Navigation of pedicle screws in the thoracic spine with a new electromagnetic navigation system: A human cadaver study [J]. Biomed Res Int, 2015, 2015: 183586. doi:10.1155/2015/183586
doi: 10.1155/2015/183586 |
62 | 钟军, 温冰涛, 陈仲强. O型臂导航系统辅助胸椎椎弓根螺钉置入的准确性及学习曲线 [J]. 中国脊柱脊髓杂志, 2021, 31(3): 230-237. |
63 |
AO S, WU J, TANG Y, et al. Percutaneous Endoscopic Lumbar Discectomy Assisted by O-Arm-Based Navigation Improves the Learning Curve [J]. Biomed Res Int, 2019, 2019: 6509409. doi:10.1155/2019/6509409
doi: 10.1155/2019/6509409 |
64 | 刘亚明, 童通, 申勇. O型臂导航系统在脊柱外科手术中的应用进展 [J]. 中国脊柱脊髓杂志, 2016, 26(7): 653-657. |
65 | WEI S, TAO W, ZHU H, et al. Three-dimensional intraoperative imaging with O-arm to establish a working trajectory in percutaneous endoscopic lumbar discectomy [J]. Wideochir Inne Tech Maloinwazyjne, 2016, 10(4): 555-560. |
66 | 林旭鑫, 常青, 尚利杰, 等. 微创经椎间孔入路腰椎椎体间融合术中O臂导航与超声容积导航引导螺钉植入的对比研究[J]. 中国修复重建外科杂志, 2023, 37(11): 1403-1409. |
67 | 林夏晴,杨萍,温子阳,等. 椎间孔镜通道导向模块在椎间孔镜治疗腰椎间盘突出症中的应用[J]. 新医学,2024,55(8):608-616. |
68 | 许波. 超声容积导航定位腰椎间孔下椎间孔镜技术的临床应用研究 [J]. 影像研究与医学应用, 2017, 1(5): 151-152. |
69 | 付强, 刘彦斌, 李军,等. 超声容积导航技术引导椎间孔镜穿刺技术的应用 [J]. 中华骨科杂志, 2016, 36(1): 1-8. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||