经皮椎间孔镜tessys技术治疗中央型腰椎间盘突出症

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1、英文摘要TheevaluationOfpercutaneoustransforaminalendoscopicdiscectomyusingTESSYStechnologyinthetreatmentofcentral1''●'‘·●IUmDardisc11ernianonABSTRACTObiective：Lumbardischemiationisthemostcommonandmultiple，whichisthemostcommoncauseofbackandlegpain．Thenucleuspulposusprotrudesf

2、romadegenerativeintervertebraldiscthroughaannulusfibrosuscleftsintothespinecanalorpenetratestheendplateintothevertebralbody,whichcouldstimulateorconstricttissuesaroundandcauseclinicalsymptoms．Accordingtothepositionthatthenucleuspulposusmayprotrudefrom，lumbardischerniatio

3、ncouldbedividedintothreekinds，theyarelateraldischemiation，foraminallumbardischerniation，andcentrallumbardischerniation．Centrallumbardischerniation(CLDH)，itisthatthenucleuspulposusprotrudefromthebackcentralsiteoftheannulusfibrosus．Thelateralsiteoftheannulusfibrosusisthewe

4、akpointofitsstructure．Soitiscommontoseealateraldischerniation．Buttherearestillmanypatientssufferingfromcentrallumbardischerniationinhospital．Somestudieshaveshownthattheincidencerateofcentrallumbardischerniationrangefrom5．4％to33．4％．Patientsneedtotakesurgerytreatmentifther

5、eisnoeffectivewithregularconservativetreatment．Theclinicalmanifestationsofcentraltypelumbarintervertebraldiscprotrusionarecomplexanddiverse．Thelegpaincanbeunilateralorbilateral，andsomearecaudaequinasymptoms．Sopatientswithcentrallumbardischerniationoftenunderwentunilatera

6、lorbilateralfenestrationaccordingtotheirclinicalsymptoms．Andiftheyalsohavespinalstenosis，theyshouldunderwentfulllaminectomysurgery．Thetraditionalopenoperationdoalottraumatopatients’body,andcausemuchbloodloseduringtheoperation．Aftersurgerypatientsshouldspendalongtimeonthe

7、recovery．Andwiththelaminectomy,thereisariskofsufferingLumbarspineinstabilitysyndromeafterthesurgery．Withtheadvancementof4英文摘要sciencetechnologyandmedicalequipment，manyminimallyinvasivespinetechnologieswerebeingusedinthetreatmentoflumbardischerniation．Thetransforaminalendo

8、scopicspinesystemTESSYStechnologycombinespercutaneoustechniqueswithspinalendoscopytechniques．Itsadventp