Uburyo buhebuje bwo kuvura uburyo bwo kuvura disiketi - tekinike ya intervertebral foramen endoscopy

Intervertebral foramen endoscopi isa na endoskopi yumugongo. Intego yubuhanga bwumugongo bwibasirwa cyane ni ukwinjira mumikorere ya intervertebral kuruhande rwumurwayi cyangwa inyuma (ishobora kuba iringaniye cyangwa ihanamye), hanyuma igakuraho burundu nucleus pulposus isohoka cyangwa igororotse hamwe namagufwa akwirakwira hanze ya mpandeshatu itekanye yumutambagiro wimbere hamwe na impeta ya fibrous ya disiki ya intervertebral kugirango igabanye umuvuduko kumizi yumutima, igabanye inzitizi zuruzinduko rwikiruhuko cyatewe no kwikuramo disiketi ya intervertebral, kandi bigatera imitsi yimitsi yumutima hamwe no gutwika kwa aseptic, bigatuma ibimenyetso byubuvuzi byongera kubaho. Uburyo bwo kubaga ni uruti rw'umugongo rworoheje rugizwe na sisitemu yo kubaga igizwe n'indorerwamo yabugenewe yabugenewe idasanzwe, ibikoresho byo kubaga byoroheje byibasiwe, uburyo bwo gutunganya amashusho no gutunganya amashusho, hamwe na bipolar electrocoagulation hamwe n'ibikoresho byo kuvura ozone.

Kubaga bikozwe munsi ya anesthesia yaho muburyo bwumurwayi, hamwe nuduce duto twuruhu rwarangiye bitabangamiye umuyoboro wumugongo. Epiphyseal nucleus tissue isohoka kandi yangiritse ikurwaho munsi yindorerwamo ya foramen intervertebral, hamwe nihahamuka rito, bitangiza imitsi ya paraspinal na ligaments, kandi bitagize ingaruka kumitekerereze yumugongo. Umuyoboro wumugongo nu mizi yumutima birashobora kugaragara neza binyuze mumirorerwamo ya foramen intervertebral foramen, hanyuma tissue ya epiphyseal nucleus isohoka kandi yangirika ikurwaho munsi ya endoskopi itaziguye. Mugihe ukuyeho neza nucleus pulposus isohoka cyangwa yaguye, hyperplasia yamagufa irashobora gukurwaho, kuvura indwara yumugongo irashobora kuvurwa, kandi impeta za fibrous zangiritse zishobora gusanwa hakoreshejwe ikoranabuhanga rya radiofrequency. Bitewe nuko tekinike yibasiwe cyane na interostebral foramen endoscopi ikorerwa hanze ya annulus fibrosus, irashobora kugumana ubusugire bwa fibrosus ya annulus kandi ikagumana ituze ryumugongo kurwego runini. Mububaga busa, ubuvuzi bwibasiwe cyane no kuvura disiki ya lumbar hamwe nihungabana rito kandi ingaruka nziza izwi nkubuvuzi bwa nyuma bwo kuvura disiki ya lumbariste ninzobere zumugongo zamahanga.