Njira yomaliza yochizira intervertebral disc herniation - intervertebral foramen endoscopy njira

Intervertebral foramen endoscopy ndi ofanana ndi endoscopy ya msana. Cholinga cha luso lamakono la msana ndikulowa mu intervertebral foramen kuchokera kumbali ya wodwalayo kapena kumbuyo (yomwe ingakhale yosalala kapena yosalala), ndikuchotsa kwathunthu nyukiliya pulposus yotuluka kapena yowonjezereka ndi fupa lofalikira kunja kwa malo atatu otetezeka a intervertebral foramen ndi Fibrous mphete ya intervertebral disc kuti athetse kupanikizika pamizu ya mitsempha, kuchepetsa kutsekeka kwa lateral recess circulation chifukwa cha kupanikizana kwa intervertebral disc protrusion, ndi kuyambitsa mitsempha ya mitsempha ya mitsempha ndi kutupa kwa aseptic, zomwe zimapangitsa kuti zizindikiro zachipatala zibwererenso. Njira yopangira opaleshoni ndi opaleshoni ya msana yomwe imapangidwa ndi galasi lopangidwa mwapadera la intervertebral foramen, zomwe zimagwirizana ndi zida zopangira opaleshoni, zojambula ndi zojambula zithunzi, komanso bipolar electrocoagulation ndi ozoni therapy.

Opaleshoniyo ikuchitika pansi pa opaleshoni ya m'deralo puncture mu chidziwitso cha wodwalayo, ndi kabowo kakang'ono ka khungu kotsirizidwa popanda kusokonezedwa ndi msana wa msana. Minofu ya epiphyseal yomwe imatuluka ndi yowonongeka imachotsedwa pansi pa galasi la intervertebral foramen, ndi kupwetekedwa pang'ono, popanda kuwononga minofu ya paraspinal ndi mitsempha, komanso popanda kukhudza kukhazikika kwa msana. Mitsempha ya msana ndi mitsempha ya mitsempha imatha kuwonedwa bwino kudzera mu galasi la intervertebral foramen, ndipo minofu ya epiphyseal yomwe imatuluka ndi yowonongeka imachotsedwa pansi pa endoscopy yolunjika. Ngakhale kuchotsa bwinobwino nyukiliya pulposus yotuluka kapena yotuluka, mafupa a hyperplasia amatha kuchotsedwa, stenosis ya msana imatha kuchiritsidwa, ndipo mphete zowonongeka za fibrous zingathe kukonzedwa pogwiritsa ntchito teknoloji ya radiofrequency. Chifukwa chakuti njira yochepetsera pang'ono ya intervertebral foramen endoscopy imachitidwa kunja kwa annulus fibrosus, imatha kusunga umphumphu wa annulus fibrosus ndikusunga bata la msana kwambiri. Pakati pa maopaleshoni ofanana, chithandizo chochepa cha lumbar disc herniation ndi kupwetekedwa pang'ono ndi zotsatira zabwino kwambiri zimadziwika kuti chithandizo chapamwamba cha lumbar disc herniation ndi akatswiri achilendo a msana.