手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件

經(jīng)后路椎間盤鏡下椎間盤切除術(shù)經(jīng)后路椎間盤鏡下椎1王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)經(jīng)后路椎間盤鏡下椎間盤切除術(shù)王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)2王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)麻醉手術(shù)可采用全麻、硬膜外或局部麻醉。病人俯臥于拱形體位架上,避免胸腹受壓,并使手術(shù)間隙的椎板間孔拉開。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)3王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)概述近年來,隨著內(nèi)鏡技術(shù)的發(fā)展,應用小切口和顯微外科腰椎間盤摘除術(shù)的方法基本上被后路椎間盤鏡下腰椎間盤摘除術(shù)所取代。而一些極外側(cè)椎間盤突出則可采用后外側(cè)或側(cè)方入路內(nèi)鏡下腰椎間盤摘除術(shù)。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)4王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)概述后路椎間盤鏡下椎間盤摘除術(shù)手術(shù)相關(guān)解剖見下圖(圖3.26.93.1-1)王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)5王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)概述王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)6王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)適應證后路椎間盤鏡下椎間盤摘除術(shù)適用于:王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)7王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)適應證1.以髓核單純向側(cè)后方突出或脫出在椎間隙附近的腰椎間盤突出癥為最適宜王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)8王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)適應證2.椎間盤突出合并以黃韌帶增厚為主的椎管狹窄者。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)9王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)手術(shù)禁忌1.腰椎板外側(cè)椎間盤突出。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)10手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件11手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件12手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件13手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件14手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件15手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件16手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件17手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件18手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件19手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件20手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件21手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件22手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件23手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件24手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件25手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件26手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件27手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件28手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件29手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件30手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件31手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件32手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件33手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件34手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件35手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件36手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件37手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件38手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件39經(jīng)后路椎間盤鏡下椎間盤切除術(shù)經(jīng)后路椎間盤鏡下椎40王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)經(jīng)后路椎間盤鏡下椎間盤切除術(shù)王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)41王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)麻醉手術(shù)可采用全麻、硬膜外或局部麻醉。病人俯臥于拱形體位架上,避免胸腹受壓,并使手術(shù)間隙的椎板間孔拉開。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)42王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)概述近年來,隨著內(nèi)鏡技術(shù)的發(fā)展,應用小切口和顯微外科腰椎間盤摘除術(shù)的方法基本上被后路椎間盤鏡下腰椎間盤摘除術(shù)所取代。而一些極外側(cè)椎間盤突出則可采用后外側(cè)或側(cè)方入路內(nèi)鏡下腰椎間盤摘除術(shù)。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)43王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)概述后路椎間盤鏡下椎間盤摘除術(shù)手術(shù)相關(guān)解剖見下圖(圖3.26.93.1-1)王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)44王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)概述王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)45王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)適應證后路椎間盤鏡下椎間盤摘除術(shù)適用于:王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)46王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)適應證1.以髓核單純向側(cè)后方突出或脫出在椎間隙附近的腰椎間盤突出癥為最適宜王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)47王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)適應證2.椎間盤突出合并以黃韌帶增厚為主的椎管狹窄者。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)48王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)手術(shù)禁忌1.腰椎板外側(cè)椎間盤突出。王術(shù)資料:經(jīng)后路推間盤鏡下推間盤切除術(shù)49手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件50手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件51手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件52手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件53手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件54手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件55手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件56手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件57手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件58手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件59手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件60手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件61手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件62手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件63手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件64手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件65手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件66手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件67手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件68手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件69手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件70手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件71手術(shù)講解模板：經(jīng)后路椎間盤鏡下椎間盤切除術(shù)課件72手術(shù)講解模板：經(jīng)后路椎