浙江大学学报（医学版）
浙江大學學報（醫學版）
절강대학학보（의학판）
JOURNAL OF ZHEJIANG UNIVERSITY MEDICAL SCIENCES
2014年
6期
711-716
,共6页
潘志敏%程细高%高贵程%程联智
潘誌敏%程細高%高貴程%程聯智
반지민%정세고%고귀정%정련지
内窥镜%内窥镜检查%腰椎/外科学%椎间盘/外科学%椎间盘切除术,经皮%椎间盘移位/外科学%外科手术,微创性
內窺鏡%內窺鏡檢查%腰椎/外科學%椎間盤/外科學%椎間盤切除術,經皮%椎間盤移位/外科學%外科手術,微創性
내규경%내규경검사%요추/외과학%추간반/외과학%추간반절제술,경피%추간반이위/외과학%외과수술,미창성
Endoscopes%Endoscopy%Lumbar vertebrae/surgery%Intervertebral disk/surgery%Diskectomy,percutaneous%Intervertebral disk dsplacement/surgery%Surgical procedures,minimally invasive
近些年，显微内镜技术和微创器械的更新、计算机技术与影像医学的发展以及医学人文理念的进步等共同促进了微创脊柱外科快速发展。微创理念已渗透脊柱外科各领域，微创脊柱外科正向损伤小、并发症少为特点的精准靶点治疗发展。本文就有代表意义的经皮穿刺及髓核成形术、脊柱内镜及内窥镜技术、计算机导航系统精准定位脊柱外科手术、机器人操作腰椎手术等相关技术作一简介。
近些年，顯微內鏡技術和微創器械的更新、計算機技術與影像醫學的髮展以及醫學人文理唸的進步等共同促進瞭微創脊柱外科快速髮展。微創理唸已滲透脊柱外科各領域，微創脊柱外科正嚮損傷小、併髮癥少為特點的精準靶點治療髮展。本文就有代錶意義的經皮穿刺及髓覈成形術、脊柱內鏡及內窺鏡技術、計算機導航繫統精準定位脊柱外科手術、機器人操作腰椎手術等相關技術作一簡介。
근사년，현미내경기술화미창기계적경신、계산궤기술여영상의학적발전이급의학인문이념적진보등공동촉진료미창척주외과쾌속발전。미창이념이삼투척주외과각영역，미창척주외과정향손상소、병발증소위특점적정준파점치료발전。본문취유대표의의적경피천자급수핵성형술、척주내경급내규경기술、계산궤도항계통정준정위척주외과수술、궤기인조작요추수술등상관기술작일간개。
The fast development of minimally invasive spine surgery in recent years is based on the advance of endoscopic microsurgery techniques, computer science and medical imaging, as well as the growing concerning of medical humanities.The concept of minimally invasive and precise targeting therapy has been penetrating into various areas of surgery, and minimal tissue damage and fewer complications are the new directions of minimally invasive spine surgery.In this article we review some advances in precise spinal surgery including percutaneous lumbar discectomy, microendoscopic discectomy, computer-assisted orthopedic surgery and robot surgery.
