Ultrasound guided percutaneous transforaminal endoscopic lumbar discectomy with no radiation: a case report

doi:10.3877/cma.j.issn.1674-6899.2019.02.012

Abstract

Abstract:

Objective

To explore the possibility of ultrasound guided percutaneous transforaminal endoscopic lumbar discectomy (PELD) with no radiation.

Methods

The lumbar transverse processes were used as the markers to locate the target level on longitudinal section. A hyperechoic zone on transverse section of lumbar ultrasound was used as the marker to puncture and cannulation of PELD, and the operation was completed.

Results

After operation, the symptoms were relieved obviously. Postoperative MRI showed that the solid tissue of nucleus pulposus in the herniated disc had been completely removed, and the nerve root had been completely released without complications.

Conclusions

This is the first case of zero radiation PELD guided by ultrasound in the world(Report of Novelty Search of Medical and Health Science and Technology No. 2019023; Novelty Search Station of Medical and Health Science and Technology, General Hospital of PLA; Novelty Search Time, March 18th, 2019). It has important value to further reduce the radiation dose of PELD during puncture and intubation under the guidance of ultrasound.

Key words: Ultrasound, Radiation, Endoscopic lumbar disectomy, Lumbar disc herniation

Mingbo Zhang, Peng Huang, Chengzhi Wu, Longtao Yan. Ultrasound guided percutaneous transforaminal endoscopic lumbar discectomy with no radiation: a case report[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2019, 12(02): 111-114.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2019.02.012

https://zhqjwkzz.cma-cmc.com.cn/EN/Y2019/V12/I02/111

Figures/Tables 4

References 14

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