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单侧双通道内镜技术的临床应用与展望

胡震 杨阳 赵树雄 张群立 张同同 刘林

解放军医学杂志2024,Vol.49Issue(3):349-354,6.
解放军医学杂志2024,Vol.49Issue(3):349-354,6.DOI:10.11855/j.issn.0577-7402.1975.2023.0221

单侧双通道内镜技术的临床应用与展望

Clinical application and perspectives of unilateral biportal endoscopic technique

胡震 1杨阳 2赵树雄 1张群立 2张同同 2刘林2

作者信息

  • 1. 甘肃中医药大学第一临床医学院,甘肃兰州 730000
  • 2. 甘肃省人民医院骨二科,甘肃兰州 730000
  • 折叠

摘要

Abstract

Unilateral biportal endoscopic(UBE)technique is a minimally invasive spinal technique developed rapidly in recent years.Compared with traditional spinal endoscopy,the prominent feature of UBE is that it can open two channels on the same side of the spine,which can be used to provide visual field and insert operating instruments respectively,greatly expanding the operating space and reducing the difficulty of surgery.It has the advantages of less bleeding,little injury,quick recovery and mild pain,and has unique advantages in the treatment of lumbar spinal stenosis,lumbar disc herniation and other lumbar degenerative diseases.With the continuous in-depth exploration and development of the UBE technique,the field of diseases that can be treated by this technology has gradually expanded.It is not only limited to lumbar diseases,but also has made great progress in cervical and thoracic diseases,which has attracted the attention of many spinal surgeons.UBE technique has become one of the promising surgical methods for spinal-related diseases,but there are also complications such as incomplete decompression,nerve root and dural injury,epidural hematoma,relatively prolonged operation time,operation fatigue and other deficiencies.This paper summarizes the progress of the UBE technique,discusses its complications and deficiencies,proposes relevant solutions and possible future directions for its development,so as to provide reference for the clinical practice of UBE technique.

关键词

单侧双通道内镜技术/脊柱微创技术/腰椎管狭窄症/腰椎间盘突出症/腰椎滑脱症

Key words

unilateral biportal endoscopic technique/minimally invasive spine technology/lumbar spinal stenosis/lumbar disc herniation/lumbar spondylolisthesis

分类

医药卫生

引用本文复制引用

胡震,杨阳,赵树雄,张群立,张同同,刘林..单侧双通道内镜技术的临床应用与展望[J].解放军医学杂志,2024,49(3):349-354,6.

基金项目

This work was supported by the Gansu Provincial Youth Science and Technology Fund Program(21JR11RA199) 甘肃省青年科技基金计划(21JR11RA199) (21JR11RA199)

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