有效期至长期有效 | 最后更新2021-02-26 21:11 | |
功能手术刀 | 其他类别国产 | 器械类别二类医疗器械 |
JOIMAX进口椎间孔镜厂家产品说明:
portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">椎间孔镜技术发展史
portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">一、portant; word-wrap: break-word !important; font-size: 19px;">1975portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">年portant; word-wrap: break-word !important; font-size: 19px;">Hijikataportant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">等率先采用经皮穿刺经安全三角区进椎间盘内髓核切除,非直视下间接神经根减压(盘内减压技术)。
portant; word-wrap: break-word !important; font-size: 19px;">portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">二、portant; word-wrap: break-word !important; font-size: 19px;">1997portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">年portant; word-wrap: break-word !important; font-size: 19px;">yeungportant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">等研制出了脊柱内镜手术系统,形成了portant; word-wrap: break-word !important; font-size: 19px;">YESSportant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">技术,真正实现了经皮内窥镜下腰椎间盘髓核摘除术(portant; word-wrap: break-word !important; font-size: 19px;">Perculaneous Endoscopic Lumbar Discectomy,PELDportant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">)。此技术入路经由安全三角区进入椎间盘,因不经硬膜外腔,所以、操作相对安全、简单,自椎间盘内向外切除椎间盘组织(portant; word-wrap: break-word !important; font-size: 19px;">inside –outportant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">由内向外技术)。此技术由于受上关节突关节遮挡,不能对受压神经根进行直接减压。
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portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">技术优势
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px;">TESSportant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">技术在硬膜外腔直接对致压物切除,达到神经根有效减压,因此该技术在挑战传统开放手术的同时,也颠覆一些微创技术。
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px;">1.portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">与开放手术的可比性;
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px;">2.portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">与脊柱后路镜(MED)的可比性;
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px;">3.portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">与其它微创方法的可比性;
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px;">4.portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">前瞻性与延续性:在不远的将来镜下技术将更加广阔(如各种镜下内固定系统),更容易被患者所接受。微创脊柱外科手术模式向可视、精确、精细、向智能化转变,微创外科化必将成为portant; word-wrap: break-word !important; font-size: 19px;">21portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">世纪的主旋律。
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portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">疗效portant; word-wrap: break-word !important; font-size: 19px;">portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">优点及不足
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">疗效:国外文献报告术后portant; word-wrap: break-word !important; font-size: 19px;">31portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">个月随访,优良率portant; word-wrap: break-word !important; font-size: 19px;">81.4%portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">。国内报告portant; word-wrap: break-word !important; font-size: 19px;">88.4%~95%portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">左右,对于病史短,年龄轻,无病中病,疗效更佳。优良率与严格掌握手术适应症及手术的熟练程度、对该技术理念的理解成正相关。
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">优点:直接减压、量化、安全、创伤轻、出血少、恢复快、疗效可靠、并发症少。
portant; word-wrap: break-word !important; font-size: 19px; font-family: Symbol;">portant; word-wrap: break-word !important; font-stretch: normal; font-size: 9px;">portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">不足:
portant; word-wrap: break-word !important; font-size: 19px;">1.portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">学习曲线陡直。观看手术的感觉和实际操作反差甚大。
portant; word-wrap: break-word !important; font-size: 19px;">2.portant; word-wrap: break-word !important; font-size: 19px; font-family: 宋体;">开放手术存在的并发症该技术均可能发生。