导航辅助脊柱内镜经椎间孔入路穿刺和椎间孔成形的临床研究

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Abstract Objective To observe the clinical value of transforaminal puncture and transforaminal plasty (TESSYS) of spine endoscopy system assisted by electromagnetic navigation.Methods This was a prospective cohort study.From April 2018 to April 2019，60 patients with lumbar disc herniation accompanied by lateral recess stenosis from Henan provincial orthopedic hospitalspinal surgery department，were selected and randomly divided into two groups.30 patients in the observation group were treated with TESSYS technique assisted by electromagnetic navigation and 30 patients in the control group were treated with standard TESSYS technique.There was no significant difference in gender，age，BMI and lesion segment between the two groups (P＞0.05).The time of intraoperative puncture，arthroplasty，operation，and fluoroscopy，the complications related to puncture and foramen formation，and the modified MacNab score were recorded and compared between the two groups.Results The times of fluoroscopy，puncture，arthroplasty and operation in the observation group were lower than those in the control group (P＜0.05).There was no significant difference in the modified MacNab score (P＞0.05).The incidence of intraoperative complications was 6.7% (2/30) in the observation group and 16.7%(5/30) in the control group，the difference was not statistically significant (P＞0.05).Conclusion The operation of TESSYS under the assistance of electromagnetic navigation is helpful to the precise location of puncture and the foraminoplasty.It can effectively reduce the times of intraoperative fluoroscopy and the radiation exposure dose of doctors and patients，shorten the operation time，and reduce the learning curve of TESSYS.

Key words： lumbar vertebrae intervertebral disc foraminoplasty discectomy navigation

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	Wang Shaochun 1
	Chen Botao 2

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Wang Shaochun 1,Chen Botao 2. Study of Spinal Endoscopic System Puncture and Foraminoplasty via Intervertebral Foramen with Navigation System[J]. sygkzz, 2020, 26(5): 385-389.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I5/385

［1］Hoogland T，Schubert M，Miklitz B，et al.Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain：a prospective randomized study in 280 consecutive cases［J］.Spine(Phila Pa 1976)，2006，31(24)：E890-E897.
［2］Li X，Hu Z，Cui J，et al.Percutaneous endoscopic lumbar discectomy for recurrent lumbar disc herniation［J］.Int J Surg，2016，27：8-16.
［3］Jang JS，An SH，Lee SH.Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc herniations［J］.J Spinal Disord Tech，2006，19(5)：338-343.
［4］范国鑫，扶青松，顾广飞，等.脊柱微创手术的辐射危害及其防护进展［J］.中国脊柱脊髓杂志，2014，24(3)：275-278.
［5］Wu R，Liao X，Xia H.Radiation exposure to the surgeonduring ultrasound-assisted transforaminal percutaneousendoscopic lumbar discectomy：a prospective study［J］.World Neurosurg，2017(101)：658-665.
［6］Park P.Three-dimensional computed tomography-based spinal navigation in minimally invasive lateral lumbar interbody fusion［J］.Neurosurgery，2015，11( Suppl 1)：259.
［7］Koichi S，Hiroshi E，Tetsuya M，et al.State of the art：Transforaminal approach for percutaneous endoscopic lumbar discectomy under local anesthesia［J］.J Med Invest，2014，61(34)：217-225.
［8］Wang H，Huang B，Li C，et al.Learning curve for percutaneous endoscopic lumbar discectomy depending on the surgeon’s training level of minimally invasive spine surgery［J］.Clin Neurol Neurosurg，2013，115(10)：1987-1991.
［9］Wu XB，Fan GX，Gu X，et al.Learning curves of percutaneous endoscopic lumbar discectomy in transforaminal approach at the L_4～5 and L₅S₁ levels：a comparative study［J］.J Zhejiang Univ Sci B，2016，17(7)：553-560.
［10］周跃，李长青，王建，等.椎间孔镜YESS 与TESSYS技术治疗腰椎间盘突出症［J］.中华骨科杂志，2010，30(3)：235-237.
［11］都江胜，赵毓军，王小铁.脊柱导航系统在腰椎爆裂骨折治疗中的应用［J］.实用骨科杂志，2015，21(9)：828-831.
［12］谭海涛，黄圣斌，谢兆林，等.导航导杆在椎间孔镜穿刺定位的应用［J］.中国脊柱脊髓杂志，2017，27(4)：339-344.
［13］朱慧阳，叶斌，叶正旭，等.术前三维影像测量结合激光导航器辅助穿刺行经椎间孔入路经皮内窥镜下椎间盘切除术［J］.脊柱外科杂志，2019，17(1)：17-23.
［14］彭运飞，游浩，张栋.影像设备引导下椎间孔镜穿刺效果研究［J］.中国内镜杂志，2018，24(2)：80-84.
［15］赵燕鹏，唐佩福.骨科机器人及导航技术研究进展［J］.中国矫形外科杂志，2016，24(3)：242-246.
［16］Ahn Y，Kim CH，Lee JH，et al.Radiation exposure to the surgeon during percutaneous endoscopic lumbar discectomy：A prospective study［J］.Spine，2013，38(7)：617-625.
［17］Prasarn ML，Coyne E，Schreck M，et al.Comparison of image quality and radiation exposure from C-arm fluoroscopes when used for imaging the spine［J］.Spine，2013，38(16)：1401-1404.

[1]	. [J]. sygkzz, 2021, 27(4): 348-353.