portant; word-wrap: break-word !important;">一、腰椎间孔镜治疗椎间盘突出的优点

portant; word-wrap: break-word !important;">1、不影响硬膜外血管系统

portant; word-wrap: break-word !important;">2、不损伤脊柱后方的韧带和骨骼

portant; word-wrap: break-word !important;">3、术后腰椎失稳和椎间隙狭窄的概率小

portant; word-wrap: break-word !important;">4、椎间孔镜术后无慢性神经缺血和纤维化

portant; word-wrap: break-word !important;">5、椎间孔镜术后发生硬膜外瘢痕的概率较小

portant; word-wrap: break-word !important;">一、腰椎间孔镜治疗椎间盘突出的优点

portant; word-wrap: break-word !important;">1、不影响硬膜外血管系统

portant; word-wrap: break-word !important;">2、不损伤脊柱后方的韧带和骨骼

portant; word-wrap: break-word !important;">3、术后腰椎失稳和椎间隙狭窄的概率小

portant; word-wrap: break-word !important;">4、椎间孔镜术后无慢性神经缺血和纤维化

portant; word-wrap: break-word !important;">5、椎间孔镜术后发生硬膜外瘢痕的概率较小二、椎间孔镜手术的难点是那些呢？

portant; word-wrap: break-word !important;">1、手术的难点是椎间孔镜准确到达突出的椎间盘

portant; word-wrap: break-word !important;">2、关节突关节增生狭窄的椎间孔阻碍椎间孔镜通过

portant; word-wrap: break-word !important;">3、狭窄的椎间孔阻碍椎间孔镜准确到达突出的椎间盘

portant; word-wrap: break-word !important;">三、如何解决椎间孔手术的难点呢？

portant; word-wrap: break-word !important;">1、解决方法就是对增生狭窄的椎间孔扩大成形。

portant; word-wrap: break-word !important;">2、通过椎间孔扩大成形，让椎间孔镜顺利通过椎间孔。

portant; word-wrap: break-word !important;">3、通过椎间孔扩大成形，让椎间孔镜准确到达突出的椎间盘。

portant; word-wrap: break-word !important;">四、如何做到椎间孔扩大成形呢？

portant; word-wrap: break-word !important;">1、切除上关节突的腹侧部分

portant; word-wrap: break-word !important;">2、必要时切除下椎弓根的上部

portant; word-wrap: break-word !important;">3、射频消融椎间孔周围的韧带结构

portant; word-wrap: break-word !important;">4、通过椎间孔扩大成形来显露硬膜外前间隙

portant; word-wrap: break-word !important;">五、用于椎间孔成形术的手术工具有哪些呢？

portant; word-wrap: break-word !important;">1、骨环锯

portant; word-wrap: break-word !important;">2、扩孔钻

portant; word-wrap: break-word !important;">3、内镜磨钻

portant; word-wrap: break-word !important;">4、内镜骨凿

portant; word-wrap: break-word !important;">5、等离子射频

portant; word-wrap: break-word !important;">六、哪些患者需要做椎间孔扩大成形呢？

portant; word-wrap: break-word !important;">1、腰5骶1椎间盘突出

portant; word-wrap: break-word !important;">2、关节突肥厚增生椎间孔狭窄

portant; word-wrap: break-word !important;">3、椎间孔周围的韧带增生肥厚

portant; word-wrap: break-word !important;">4、移位程度大的脱出型椎间盘突出

portant; word-wrap: break-word !important;">5、突出的椎间盘移位到椎弓根内下方

portant; word-wrap: break-word !important;">七、椎间孔扩大成形分类

portant; word-wrap: break-word !important;">1、切除部分上关节突及黄韧带外侧部分的椎间孔扩大成形

portant; word-wrap: break-word !important;">2、斜行切除椎弓根上面部分及黄韧带外侧部分的的椎间孔成形