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单侧双通道内镜治疗青年多节段腰椎间盘突出伴椎管狭窄症1例及文献综述
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Abstract:
腰椎间盘突出症(Lumbar Disc Herniation, LDH)主要临床症状为腰腿痛，是腰椎间盘退变后，纤维环破裂，窦椎神经和神经根受到突出髓核的刺激或压迫而引起的一种综合征。目前，多节段LDH多见于中老年人群，年轻患者中较为少见。对于多节段发病患者保守治疗疗效欠佳，而手术以多节段融合或内镜处理单一责任节段为主，内镜治疗多节段较为少见。单侧双通道脊柱内镜技术(Unilateral Biportal Endoscopic technology, UBE)是利用关节镜系统来进行治疗，具有术野清晰、操作灵活、减压充分等特点，在内窥镜手术治疗多节段腰椎间盘突出症中有独特优势。本文报道1例就诊于湖北省中医院并接受UBE微创治疗3个节段巨大腰椎间盘突出伴腰椎管狭窄、椎间盘钙化的年轻患者临床资料，并对相关文献进行综述。
Lumbar Disc Herniation (LDH), the main clinical symptom of which is low back pain, is a syndrome caused by degeneration of the lumbar disc, rupture of the annulus fibrosus, and irritation or compression of the sinus nerve and nerve roots by the protruding nucleus pulposus. At present, multisegmental LDH is mostly seen in the middle-aged and elderly population, and is less common in younger patients. Conservative treatment for patients with multisegmental onset is ineffective, while surgery is dominated by multisegmental fusion or endoscopic management of a single responsible segment, and endoscopic treatment of multisegmental is less common. Unilateral Biportal Endoscopic technology (UBE) is the use of arthroscopic system to carry out treatment, with a clear field of operation, flexible operation, decompression is sufficient and other characteristics, endoscopic surgery in the endoscopic treatment of multisegmental lumbar disc herniation has a unique advantage. In this paper, we report the clinical data of a young patient who visited Hubei Provincial Hospital of Traditional Chinese Medicine and underwent minimally invasive UBE for the treatment of 3-segment giant lumbar disc herniation with lumbar spinal stenosis and disc calcification, and provide a review of the relevant literature.
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