天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (2): 129-133.doi: 10.11958/20161491

• 专题研究-脊柱微创内镜（主编：徐宝山） • 上一篇    下一篇

等离子射频消融髓核成形术治疗椎间盘疾病的研究进展

闫兵山 1,2， 徐宝山 2△   

  1. 1 天津医科大学研究生院 （邮编 300070）； 2 天津市天津医院微创脊柱外科
  • 收稿日期:2016-12-09 修回日期:2017-01-09 出版日期:2017-02-15 发布日期:2017-02-14
  • 通讯作者: △通讯作者 E-mail：xubaoshan99@126.com E-mail:xubaoshan99@126.com
  • 作者简介:闫兵山 （1992）， 男， 硕士研究生在读， 主要从事脊柱疾病的微创治疗及椎间盘组织工程修复研究
  • 基金资助:
    国家自然科学基金面上项目（31670983， 81272046）； 天津市自然科学基金（15JCYBJC25300）； 天津市卫计委攻关课题（14KG121）

Update in the treatment of intervertebral disc disease by coblation nucleoplasty

YAN Bing-shan1,2, XU Bao-shan2△   

  1. 1 Graduate School of Tianjin Medical University, Tianjin 300070, China; 2 Department of Minimally Invasive Spine Surgery, Tianjin Hospital
  • Received:2016-12-09 Revised:2017-01-09 Published:2017-02-15 Online:2017-02-14
  • Contact: △Corresponding Author E-mail：xubaoshan99@126.com E-mail:xubaoshan99@126.com

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摘要： 椎间盘疾病是一组病因复杂、 临床症状多样、 保守治疗效果差的临床疾病的总称。传统的治疗方法包括保守治疗、 局部注射及开放手术等。近年来， 随着脊柱微创技术的进步， 其临床疗效受到充分肯定。等离子射频消融髓核成形术 （CN） 自临床开展以来主要应用于包容性椎间盘突出的治疗， 因其适应证窄、 疗效不确定等原因临床开展并不顺利。目前大量文献报道了 CN 在椎间盘疾病中的应用， 并对其工作原理、 手术安全性、 适应证及临床疗效等方面进行了分析和扩展， 对其在临床方面的广泛推广使用具有重要意义。本文就 CN 在椎间盘疾病中应用的研究现状进行综述。

关键词: 椎间盘切除术, 综述, 椎间盘疾病, 射频消融, 髓核成形术

Abstract: The intervertebral disc disease is a group of clinical diseases with complex etiology, various clinical symptoms and poor conservative treatment effect. The traditional treatment methods include conservative treatment, local injection and open surgery. In recent years, minimally invasive spine surgery has made great progress and development, and its clinical effect has been fully affirmed. Coblation nucleoplasty (CN) has been mainly used in the treatment of contained disc herniation since it has been used in clinical treatment. Its application is not favorable because of narrow indications, uncertain clinical efficacy and other reasons. At present, the application of CN in the intervertebral disc diseases has been reported in many literatures, and its working principle, operation safety, indications and efficacy have been analyzed and extended. Those literatures play an important role in its clinical application. Therefore, in this paper, the application status of CN in the intervertebral disc diseases is reviewed.

Key words: diskectomy, review, intervertebral disc disease, coblation, nucleoplasty