岭南现代临床外科2025，Vol.25Issue(4)：239-245,7.DOI:10.3969/j.issn.1009-976X.2025.04.005
单侧双通道脊柱内镜技术治疗腰椎管狭窄症疗效及并发症分析
Analysis of efficacy and complications of unilateral biportal endoscopy in the treatment of lumbar spinal stenosis
黄志谋 1缪海雄2
作者信息
- 1. 汕头大学医学院附属医院,广东 汕头 515051||广州医科大学附属第三医院(白云分院)骨科,广州 510410
- 2. 广州市红十字会医院骨科,广州 510240
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy,safety,and complications of unilateral biportal endoscopy(UBE)in the treatment of lumbar spinal stenosis.Methods A retrospective analysis was conducted on 80 patients with lumbar spinal stenosis who underwent UBE surgery from December 2022 to December 2023.Perioperative data,including operative time and intraoperative blood loss,were collected and analyzed.Clinical outcomes were assessed using the Visual Analogue Scale(VAS)and Oswestry Disability Index(ODI)at baseline and 3 months postoperatively.Postoperative complications were also documented.Results All procedures were successfully completed.The mean operative time was 3.35±1.18 hours,and the mean intraoperative blood loss was 49.44±53.27 mL.At 3 months post-surgery,both VAS scores(from 7.28±0.98 to 1.68±0.94)and ODI scores(from 0.63±0.10 to 0.16±0.07)showed significant improvement compared to preoperative levels(all P<0.001).The overall complication rate was 8.75%,which included delayed wound healing(3.75%),cerebrospinal fluid leakage(2.5%),epidural hematoma(1.25%),and recurrence(1.25%).All complications were resolved with appropriate manage-ment and no severe adverse events occurred.Conclusion UBE is a minimally invasive technique that demonstrates definite efficacy in treating lumbar spinal stenosis.It significantly alleviates pain and improves function with a low and manageable complication rate.关键词
腰椎管狭窄/单侧双通道脊柱内镜技术/并发症Key words
lumbar spinal stenosis/unilateral dual channel endoscopic technique/complications分类
医药卫生引用本文复制引用
黄志谋,缪海雄..单侧双通道脊柱内镜技术治疗腰椎管狭窄症疗效及并发症分析[J].岭南现代临床外科,2025,25(4):239-245,7.
