International Medicine and Health Guidance News ›› 2025, Vol. 31 ›› Issue (21): 3536-3540.DOI: 10.3760/cma.j.cn441417-20250619-21004

• New Medical Advances • Previous Articles     Next Articles

Progress in minimally invasive treatment of cervical spondylotic radiculopathy

Xu Zengmao1, Feng Bo2, Zhang Jijiang1, Hu Peng1, Dai Guohua1   

  1. 1 Department of Spinal Surgery, Binzhou Medical University Hospital, Binzhou 256603, China; 2 Department of Neurology, Binzhou Medical University Hospital, Binzhou 256603, China
  • Received:2025-06-19 Online:2025-11-01 Published:2025-11-18
  • Contact: Hu Peng, Email: qyhupeng@163.com
  • Supported by:

    Shandong Medical Science and Technology Development Plan (2017WS752); Shandong Traditional Chinese Medical Science and Technology Development Plan (2019-0498)

神经根型颈椎病的微创治疗进展

徐增茂1  冯波2  张继桨1  胡鹏1  戴国华1   

  1. 1滨州医学院附属医院脊柱外科,滨州 256603;2滨州医学院附属医院神经内科,滨州 256603
  • 通讯作者: 胡鹏,Email:qyhupeng@163.com
  • 基金资助:
    山东省医药卫生科技发展计划(2017WS752);山东省中医药科技发展计划(2019-0498)

Abstract: This article reviews the application and progress of minimally invasive techniques in the treatment of cervical spondylotic radiculopathy. Through a systematic review of relevant literature, it compares and analyzes the processes, operations, advantages, and disadvantages of various minimally invasive techniques, including unilateral dual-channel endoscopy, foraminoscopy, microendoscopy, radiofrequency, and collagenase. Currently, conservative treatment remains the primary approach for clinical management of cervical spondylotic radiculopathy; however, minimally invasive surgery has become an important option due to its advantages. Among these, the Key-hole technique performed under unilateral dual-channel endoscopy shows promising clinical prospects due to its gentle learning curve, short operative time, lower costs, and the ability to utilize existing instruments.

Key words: Cervical spondylotic radiculopathy;Microtraumatic operation;Microendoscopic discectomy of nucleus pulposus of intervertebral disc; , Unilateral dual-channel spinal endoscopy;Percutaneous endoscopic cervical discectomy;Progress

摘要: 本文综述了微创技术治疗神经根型颈椎病的应用与进展。通过系统回顾相关文献,对比分析单侧双通道脊柱内镜、椎间孔镜、显微内窥镜、射频及胶原酶等微创技术的进程、操作及优缺点。目前,神经根型颈椎病的临床治疗仍以保守治疗为主,但微创手术因其优势已成为重要选择。其中,单侧双通道内镜下的Key-hole技术因学习曲线平缓、手术时间短、成本较低且可利用现有器械,展现出广阔的临床应用前景。

关键词: 神经根型颈椎病, 微创手术, 显微内窥镜下椎间盘髓核摘除术, 单侧双通道脊柱内镜技术, 经皮内窥镜下颈椎间盘切除术, 进展