经皮单侧双通道内镜手术治疗腰椎退变性疾病的研究进展  

Clinical progress in percutaneous unilateral biportal endoscopic surgery for degenerative lumbar diseases

作　　者：苟鹏国 高刚[1] 井万里[2] 常峰[1] Gou Pengguo;Gao Gang;Jing Wanli;Chang Feng(Department of Orthopedic Surgery,The Fifth Hospital Affiliated to Shanxi Medical University(The People's Hospital of Shanxi Province),Taiyuan 030001,China;Department of Orthopedic Surgery,The First Central Hospital of Tianjin,Tianjin 300110,China)

机构地区：[1]山西医科大学附属第五医院(山西省人民医院)骨科,太原030001 [2]天津市第一中心医院骨科,天津300110

出　　处：《中华创伤骨科杂志》2023年第7期640-644,共5页Chinese Journal of Orthopaedic Trauma

摘　　要：在脊柱内镜手术领域,经皮单侧双通道内镜手术与显微内镜手术、微创内镜下椎板成形术和Destandau可动式椎间盘镜手术称为四大内镜辅助下脊柱手术。与同轴内镜手术相比,经皮单侧双通道内镜手术的观察和操作通道分离,使得手术操作更灵活、视野范围更广,且对手术器械要求简单。虽该手术入路的解剖基础与脊柱显微内镜手术类似,但能显著降低椎旁肌损伤并保护手术节段的稳定性,在腰椎退变性疾病的临床应用得到快速推广并取得良好的疗效。本文从经皮单侧双通道内镜手术的技术发展、手术入路解剖基础、临床应用、并发症和展望进行综述。Unilateral biportal endoscopic surgery,micro-endoscopic discectomy,micro-endoscopic laminoplasty,and Destandau mobile endoscopic discectomy have been described as four major techniques in the field of endoscopic spine surgeries.Compared with the coaxial endoscopy,the unilateral biportal endoscopic surgery is characterized by separated channels for observation and operation,making operative procedures more flexible,vision field wider,and requirements for surgical instruments less demanding.Although the anatomical basis of its surgical approach is similar to that of micro-endoscopic spine surgery,this technique can significantly reduce the injury to the paravertebral muscle and protect the stability of the surgical segment of the spine,leading to quick and wide applications in the clinical treatment of degenerative lumbar diseases with good clinical efficacy.The present article reviews this surgical technique from the aspects of technological development,anatomical basis,clinical application,complications,and prospects.

关 键 词：脊柱 腰椎 内窥镜 微创性 治疗 

分 类 号：R687.3[医药卫生—骨科学]