臨床整形外科58巻9号

2023年09月発行

特集 脊椎内視鏡下手術の進化・深化 展望：痛みを視る

慢性腰椎椎間関節痛に対する内視鏡腰神経後枝リゾトミー

著者： 出沢明¹

所属機関： ¹医療法人明隆会 出沢明PEDクリニック

ページ範囲：P.1167 - P.1172

難治性慢性腰痛の一般的なリゾトミー根治術には，高周波焼灼術と低侵襲の内視鏡リゾトミーの2種類がある．神経線維は，手術器具で切断したり，化学物質や電流で焼いたりすることで処理される．最近のBASGに代表されるMRIの細径神経の可視化はめざましい．併せて内視鏡などの光学機器の進歩には目を見張るものがある．後枝内側枝を確認して確実に処理を行う選択的リゾトミーをはじめ今後さまざまな分野に内視鏡の技術が応用されるであろう．

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