双通道脊柱内镜下腰椎融合术  

Biportal endoscopic lumbar interbody fusion

作　　者：肖智勇 吴永超[1] XIAO Zhiyong;WU Yongchao(Department of Orthopaedics,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,武汉430022 [2]武汉市第三医院骨科

出　　处：《临床外科杂志》2022年第4期383-385,共3页Journal of Clinical Surgery

摘　　要：近年来,随着双通道脊柱内镜技术理论的完善、相关手术器械和手术技术的不断更新优化,双通道脊柱内镜腰椎融合成为一种新的微创腰椎间融合手术方式。双通道内镜融合不仅具备传统脊柱内镜创伤小、放大手术视野、避免术者长时间低头等优点,还能使用开放手术器械,更加高效灵活,减压广泛。但其也存在一些不足,如与传统开放手术相比手术时间更长,具有陡峭的学习曲线。目前,双通道脊柱内镜下腰椎融合因其发展历史较短,大多数相关研究随访时间较短,其安全性及疗效尚缺乏高等级证据支持,需要进一步评估及验证该技术的中远期疗效。本文就双通道脊柱内镜腰椎融合手术的发展历史、技术要点、适应征、禁忌证、优缺点、并发症等做一综述。In recent years,with development of the theory of biportal endoscopy and the continuous updating and optimization of relevant surgical instruments and techniques,biportal endoscopic lumbar interbody fusion(BELIF)has become a new choice of minimally invasive lumbar interbody fusion surgery.BELIF not only has the advantages of traditional spinal endoscopy,such as less trauma,magnifying the surgical field and avoiding the operator’s bow for a long time,but also could use traditional open surgical instruments,which is more efficient and flexible and widely decompressed.However,it also has some disadvantages,such as longer operation time and steep learning curve compared with traditional open surgery.Moreover,at present,BELIF has a short development history,the follow-up time of most relevant studies is short,and its safety and efficacy are still lack of high-level evidence support.It is necessary to further evaluate and verify the medium and long-term efficacy of this technology.This paper reviews the development history,technical points,indications,contraindications,advantages and disadvantages and complications of BELIF.

关 键 词：双通道内镜 腰椎融合 脊柱 

分 类 号：R687.3[医药卫生—骨科学]