The magical "endoscopic" makes the patients with lumbar disc less painful

Release date: 2015-09-30

Be

After more than 20 years of disc herniation, Mr. Peng performed a "endoscopic" operation at the functional neurosurgery of Xuanwu Hospital. He only took a two-hour rest in bed and drove home.

"In the past, a patient with lumbar disc herniation had to undergo surgery. The doctor had to cut a 8 to 10 cm long mouth on the back of the patient. The hospital should be hospitalized for at least half a month before and after surgery. Now, Xuanwu Hospital has passed the functional neurosurgery. Endoscopic technique, as long as an 8 mm long incision is made on the back of the patient with lumbar disc herniation, and then under local anesthesia, the patient can go home 2 hours after the operation." Professor Li Yongjie, Director of Functional Neurosurgery, Xuanwu Hospital, proudly Said.

"Lumbar disc herniation is the most common cause of spinal disease." Li Yongjie explained that about 80% of people's lives have experience of low back pain, the main reason is caused by herniated disc. Low back pain with lower extremity radiation pain is a typical manifestation of lumbar disc herniation. The limbs of radiation pain are mostly one side, and a few patients show symptoms of lower limbs. Cough, sneezing, forced bowel movements and other actions can aggravate the pain. Some patients show dysfunction of the bowel movements, perineal and perianal sensation abnormalities. In severe cases, there may be symptoms such as loss of control of the bowel movements and even paralysis.

In the United States, the prevalence of spinal diseases is as high as 50%-85% of the population. It is also the first factor in the illness and even sickness of young adults. The annual economic loss is as high as more than 60 billion US dollars. In our population, the incidence of spinal diseases is 40%, and the incidence of the elderly is about 60%-80%.

Li Yongjie believes that some patients with lumbar disc herniation can be relieved or cured by non-surgical treatment, such as young people, first-time or short-term, milder symptoms, self-remission after rest, and patients without obvious spinal stenosis. Bed rest, waist circumference, physiotherapy and scientific moderate massage, massage and other methods can relieve muscle spasm, reduce pressure in the intervertebral disc, and reduce pain.

However, Li Yongjie also reminded the following patients that they must undergo surgery to heal. The medical history is more than three months, strict conservative treatment is ineffective or conservative treatment is effective, but often recurrence and severe pain; the first attack but severe pain, especially the lower limb symptoms, the patient is difficult to move and fall asleep, in the forced position; combined urination Obstruction and perianal perineal sensation abnormalities; lower extremity muscle atrophy, decreased muscle strength, combined with spinal stenosis.

In the past 10 years, modern surgery has developed to a level of micro-invasiveness and intelligence. In the United States, 80% of patients with lumbar disc herniation are treated with minimally invasive surgery through the spinal endoscopy system, and only 10% require traditional open surgery.

"Cervical disc herniation is the most advanced treatment technology in the world. After the doctor has accurately positioned by magnetic resonance imaging, it is only necessary to open a 8 mm incision and use the endoscope to penetrate the affected area for about 12 cm to remove the compressed spinal cord. And the nerve disc herniation, relieve the patient's pain." Li Yongjie said that the operation takes a local anesthesia, the doctor and the patient can talk, the operation takes about 1 hour. Two hours after surgery, the patient can move to the ground and be discharged home. "The advantage of laparoscopic surgery is that the patient has less trauma, faster recovery, and lower total cost of treatment."

At present, Xuanwu Hospital has more than 200 cases of minimally invasive endoscopic surgery for functional neurosurgery, and has accumulated rich experience. The advantage of endoscopic surgery is that the patient has less trauma, quick recovery, and lower total cost of treatment. However, the requirements for doctors are very high. Doctors engaged in foramen surgery must have experience in traditional open surgery and require systematic endoscopic surgery.

Source: Technology Daily

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