Eyona ndlela yonyango ye-intervertebral disc herniation - i-intervertebral foramen endoscopy technique

I-Intervertebral foramen endoscopy iyafana ne-spinal endoscopy. Injongo yetekhnoloji ye-spinal invasive encinci kukungena kwi-intervertebral foramen ukusuka kwicala lesigulane okanye ngasemva (enokuthi ibe tyaba okanye i-oblique), kwaye isuse ngokupheleleyo i-nucleus pulposus ephumayo okanye edibeneyo kunye nethambo elikhulayo ngaphandle kwendawo engunxantathu ekhuselekileyo ye-intervertebral foramen kunye I-fibrous ring ye-disc intervertebral ukukhulula uxinzelelo kwingcambu ye-nerve, ukukhulula ukuphazamiseka kwe-lateral recess circulation okubangelwa ukunyanzeliswa kwe-intervertebral disc protrusion, kwaye kubangele i-recurrent nerve root edema kunye nokuvuvukala kwe-aseptic, okukhokelela ekubuyeleni kweempawu zeklinikhi. Indlela yotyando yinkqubo yotyando engumnqonqo encinci eyenziwe sisibuko esenziwe ngokukodwa se-intervertebral foramen, esihambelana nezixhobo zotyando ezincinci, ii-imaging kunye neenkqubo zokucwangcisa imifanekiso, kunye ne-bipolar electrocoagulation kunye nezixhobo zonyango ze-ozone.

Utyando lwenziwa phantsi kwe-anesthesia yendawo yokuhlatywa kwimeko yengqondo yesigulane, kunye nesikhumba esincinci esigqityiweyo ngaphandle kokuphazamiseka kwi-spinal canal. I-epiphyseal nucleus tissue ephumayo kunye neyohlayo isuswe phantsi kwesibuko se-intervertebral foramen, kunye nokuphazamiseka okuncinci, ngaphandle kokulimaza imisipha ye-paraspinal kunye nemigqa, kwaye ngaphandle kokuchaphazela ukuzinza komgogodla. Umgudu womgogodla kunye neengcambu zentsholongwane zinokubonwa ngokucacileyo ngokusebenzisa isibuko se-intervertebral foramen, kwaye i-epiphyseal nucleus tissue ephumayo kunye neyohlayo isuswe phantsi kwe-endoscopy ngqo. Ngoxa ususa ngokucokisekileyo i-nucleus pulposus ephumayo okanye eyongezelelekileyo, ibone hyperplasia inokususwa, ispinal canal stenosis inokunyangwa, kunye nezangqa ezonakalisiweyo zefibrous zinokulungiswa kusetyenziswa ubuchwepheshe beradiofrequency. Ngenxa yokuba ubuchule obuncinci be-intervertebral foramen endoscopy yenziwa ngaphandle kwe-annulus fibrosus, inokugcina ingqibelelo ye-annulus fibrosus kwaye igcine ukuzinza komqolo ukuya kwinqanaba elikhulu. Phakathi kotyando olufanayo, unyango oluncinci lwe-disc ye-lumbar disc herniation kunye ne-trauma encinci kunye nesiphumo esihle kakhulu siyaziwa njengonyango lokugqibela lwe-lumbar disc herniation ngabachwephesha bangaphandle be-spinal.