椎间孔镜技术历史及现状.pptxVIP

椎间孔镜技术的历史及现状; ;Transforaminal Access 椎间孔途径;一.后外侧入路;后外侧入路的局限性 ;二.远外侧或水平入路;三.后路或椎板间入路---L5S1;术中所见;四. 椎间孔途径 -----TESSYS技术;;;Curved rod for enter L5-S1; 使用扩孔钻扩大神经孔;5/2006 first endoscopic procedure L4-5 P.o. painfree time of 4 Weeks Early rezidiv after twisting Radicular pain L5 and hypesthesia of foot 8/2006 second look by THESSYS again Transforaminal sequestrotomy L4-5 Now painfree and no hypesthesia;;Curved rod 1 into the foramen L4-5 弧形导杆进入L4-5椎间孔;;;pre;pre;Advantages of TESSYS-techniqueTESSYS技术优势;TES AlternativeTESSYS技术的适应症;Hazards 注意事项;手术设备;P32;手术结束时刮削软骨终板，创伤修复 过程中，退变的椎间盘获得营养物质