椎間(jian)(jian)(jian)(jian)孔(kong)鏡脊(ji)柱(zhu)的(de)(de)微創手術是(shi)(shi)在(zai)生理鹽水(shui)不(bu)斷沖洗(xi)下完成的(de)(de)，使用脊(ji)柱(zhu)內鏡輔助下經椎間(jian)(jian)(jian)(jian)孔(kong)入路(lu)(lu)椎間(jian)(jian)(jian)(jian)盤(pan)髓(sui)核摘(zhai)除手術，簡稱椎間(jian)(jian)(jian)(jian)孔(kong)鏡，可以是(shi)(shi)經椎間(jian)(jian)(jian)(jian)孔(kong)入路(lu)(lu)，也可以經椎板間(jian)(jian)(jian)(jian)入路(lu)(lu)，也就(jiu)是(shi)(shi)常說的(de)(de)側(ce)入路(lu)(lu)和后入路(lu)(lu)，椎間(jian)(jian)(jian)(jian)孔(kong)也成為我們通向椎管的(de)(de)一扇窗戶，利用適合的(de)(de)工具，推開這扇窗，就(jiu)可以進去摘(zhai)除突出(chu)(chu)的(de)(de)椎間(jian)(jian)(jian)(jian)盤(pan)髓(sui)核，路(lu)(lu)徑：皮膚-肌(ji)肉-椎間(jian)(jian)(jian)(jian)孔(kong)-進入椎管低達突出(chu)(chu)椎間(jian)(jian)(jian)(jian)盤(pan)，而對(dui)其他組織幾乎(hu)不(bu)損(sun)傷(shang)，因此創傷(shang)小(xiao)，恢復快。

       在整個路徑中，通過椎(zhui)(zhui)間孔(kong)時有(you)的患者可能(neng)需(xu)對(dui)椎(zhui)(zhui)間孔(kong)處理(li)，方便工作套管進入椎(zhui)(zhui)管摘(zhai)除(chu)突(tu)出的椎(zhui)(zhui)間盤，一般(ban)會用環琚或安(an)全骨鉆磨去(qu)上關(guan)節突(tu)頭端的一點(dian)點(dian)約1-2mm，切除(chu)后不會影響(xiang)關(guan)節面，不會影響(xiang)關(guan)節運動(dong)及脊柱活動(dong)性和穩定(ding)性。

        椎(zhui)(zhui)間孔鏡手(shou)(shou)術(shu)(shu)設備尺寸遠小(xiao)于其(qi)他(ta)直視(shi)手(shou)(shou)術(shu)(shu)方式，手(shou)(shou)術(shu)(shu)入路對椎(zhui)(zhui)管(guan)(guan)結構和椎(zhui)(zhui)管(guan)(guan)內(nei)組(zu)織騷擾小(xiao)，主鏡通過(guo)連接影像系統能將椎(zhui)(zhui)管(guan)(guan)內(nei)情(qing)況放大20倍，使(shi)病變組(zu)織清晰的展現在手(shou)(shou)術(shu)(shu)醫(yi)生面前，同(tong)(tong)時(shi)手(shou)(shou)術(shu)(shu)局麻，也可以隨時(shi)同(tong)(tong)患者進行交流，整個椎(zhui)(zhui)間孔鏡操作過(guo)程中有(you)生理鹽(yan)水(shui)沖洗，再加(jia)上雙極射(she)頻或者低溫等離(li)子手(shou)(shou)術(shu)(shu)電極止血消融(rong)，所(suo)以手(shou)(shou)術(shu)(shu)出血量很少(shao)，便于患者恢(hui)復(fu)。

      綜(zong)合上述，椎間孔鏡技術是(shi)一項很好的微創(chuang)技術，如需(xu)要(yao)了解椎間孔鏡設備和需(xu)要(yao)相關資料，可以(yi)與(yu)我直接聯系(xi)。