脊柱疾患的手术治疗进展课件.ppt

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1、,脊柱疾患的手术治疗进展一传统开放vs现代微创,中国脊柱外科学成立于1985年,一直致力于脊柱疾病临床诊治与基础研究。脊椎退变性疾患脊柱与脊髓畸形脊柱创伤脊柱肿瘤,脊柱疾患颈椎胸椎腰椎颈椎病胸椎间盘突出症腰椎间盘突出症颈椎管狭窄症胸椎黄韧带骨化症腰椎管狭窄症颈椎骨折脱胸椎骨折脱位腰椎骨折脱位枕颈及上颈椎畸形胸椎肿瘤腰椎滑脱颈椎结核胸椎结核腰骶椎结核颈椎肿瘤腰骶椎肿瘤脊柱畸形,颈椎前路椎体次全切除植骨融合术枕颈后路行寰枢椎融合颈后路单/双开门减压植骨融合内固定术颈椎前后联合入路骨折脱位、复位术统开放三胸腰椎骨折脱位开放复位内固定术胸腰椎前后联合入路结核病灶清除术腰后路减压植骨融合内固定术单纯椎间

2、盘髓核摘除术脊柱侧弯三维矫形植骨内固定术,经皮椎体成形术(PVP)经皮球囊扩张椎体后凸成形术(PKP后路椎间盘镜下腰椎间盘摘除术(MED)经皮椎间孔镜腰椎间盘切除术(PELD)现代微三脊柱镜下椎管扩大减压术经皮椎间孔镜颈椎间盘切除术( A/P-PECD)经皮胸腰椎骨折复位内國定术MIS-TLIF、 MIS-PLIF、 MIS-XLIF、 MIS-ALIF、 EndOLIF前路胸腔镜/脊柱内窥镜下结核病灶清除术经皮内固定置钉侧弯矫形术,微Placement (Horgan)Intradiscal Eloctrothermy.Percutaneous Peaminodoraminorary (Ro

3、h)Sextant Percutar。ouAPLD 200MIS-Lumbar Laminectomyosis(Guiot, Khoo,oscopic Anterior科发展史ACDF(Robinson)lenon ous rusThoracic DiscectomyMIS - Cervical Aminoplast1966Lateral TransponOppenheimer JH, DeCastro I, and McDonnell DE. Minimally invasive spine technology and minimallyrgery: a historical review

4、/./. Neurosurg Focus, 2009, 27(3): E9,脊柱退变性疾病传统开放TLF/ PLIF/ALIF/XLIFPLIFTLIFEndolIFXLIFALIF,Post-opM/45y Pre-opL3-5双侧峡部裂,TLF与P在治疗脊柱退变性疾病方面已十分成熟。但开放PL或TLF须广泛剥离椎旁肌肉出血和软组织损伤增加,影响术后恢复l2。I, Kawaguchi Y, Matsui H, and Tsuji H. Back muscle injury after posterior lumbar spinesurgery. A histologic and enzyma

5、tic analysis/J/. Spine(Phila Pa 1976), 2019, 21(8): 941-9442, Styf JR and Willen J. The effects of external compression by three different retractors onpressure in the erector spine muscles during and after posterior lumbar spine surgeryhumans/. Spine(Phila Pa 1976), 2019, 23(3): 354-358,传统开放现代微创10070%员月月月月点,