内镜下单侧椎板切开双侧减压技术治疗脊柱退行性疾病的研究进展  

Research progress of endoscopic unilateral laminectomy for bilateral decompression in the treatment of spinal degenerative diseases

作　　者：李亚坤 何李明 冯皓宇[1] LI Yakun;HE Liming;FENG Haoyu(Third Hospital of Shanxi Medical University(Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital),Shanxi,Taiyuan 030032,China)

机构地区：[1]山西医科大学第三医院(山西白求恩医院山西医学科学院同济山西医院),太原市030032

出　　处：《河北医药》2024年第9期1403-1406,1411,共5页Hebei Medical Journal

基　　金：山西省医学科技创新团队建设项目(编号:2020TD13)。

摘　　要：近年来,单侧椎板切开双侧减压(unilateral laminotomy for bilateral decompression,ULBD)技术在脊柱外科领域已经成为一种新兴的手术技术,得到越来越多研究者的认可。内镜辅助下行ULBD技术,术中可以获得更加清晰的视野而避免损伤硬膜囊及神经根,在保留脊柱的生理解剖结构的同时增大了术后脊柱稳定性,提高患者满意度及生活质量。该技术要求术者对解剖结构、手术步骤及器械有足够的认知,所以陡峭的学习曲线已然是该技术的一个难点。本文针对内镜下ULBD技术的发展历史、临床应用、应用前景,以及适应证、禁忌证和并发症等多个方面进行综述。In recent years,the unilateral laminotomy for bilateral decompression(ULBD)has become a new surgical technique in the field of spinal surgery,which has been increasingly recognized.Endoscopic ULBD favors a clearer field of view during the operation to avoid damages to the dural sac and nerve roots.It preserves the physiological and anatomical structure of the spine,and improve the postoperative spinal stability,satisfaction and quality of life.The steep learning curve is challenging for ULBD,which requires the surgeon to have a good understanding of the anatomy,procedures,and instruments.This article reviews the development history,clinical application,application prospect,indications,contraindications and complications of endoscopic ULBD.

关 键 词：单侧椎板切开双侧减压 内镜 腰椎管狭窄症 腰椎滑脱症 融合 微创 

分 类 号：R681.533.2[医药卫生—骨科学]