PLDD联合胶原酶溶核术治疗腰椎间盘突出症的进展.pdfVIP

ThetreatmentprogressofPLDDcombinedwithcollagenase ThetreatmentprogressofPLDDcombinedwithcollagenase TThheettrreeaattmmeennttpprrooggrreessssooffPPLLDDDDccoommbbiinneeddwwiitthhccoollllaaggeennaassee chemonucleolysisusedforlumbardischerniation chemonucleolysisusedforlumbardischerniation cchheemmoonnuucclleeoollyyssiissuusseeddffoorrlluummbbaarrddiisscchheerrnniiaattiioonn Abstract Abstract AAbbssttrraacctt In recent years,with the rapid development of Biomechanics 、Medical imageology、Pain Medicine、Materials Science , etc，theminimallyinvasive treatment of lumbar disc herniation get an important progress. Percutaneous Laser Disc Decompression combined with collagenase chemonucleolysis as a kind of the minimally invasive treatment possess the characteristic of minimally invasiveness and precise effect.In this review ,objective to provide a reference for clinical treatment, itwas summarized that themechanism、indications and contraindications、operation methods、therapeuticeffect、complications 、theimpact on thestability ofthespine and influencing factors to the treatment results of Percutaneous Laser Disc Decompression combined with collagenase chemonucleolysis used for lumbar disc herniation. Key words Key words 【 KKeeyy wwoorrddss 】 Percutaneous Laser Disc Decompression; collagenase chemonucleolysis;lumbardischerniation 2 正文 正文 正正文文 腰椎间盘突出症的治疗方式有保守治疗、微创治疗、手术治疗、生物治疗、 基因治疗等多种，微创治疗的是指用最微小创伤取得最佳治疗效果。腰椎间盘突 出症(lumbar discherniation,LDH) 的微创治疗是其治疗中的一个重要发展方向。 经皮激光椎间盘减压术（Percutaneous Laser DiscDecompression ，PLDD)和胶原 酶溶核术(collagenase chemonucleolysis ,CCNL)是经皮微创治疗中两个重要的方 面。经皮激光椎间盘减压