单侧双通道脊柱内镜技术的应用现状及思考  

Application status and considerations of unilateral biportal endoscopy technique

作　　者：刘璐[1] 张希诺[1] 康南[1] LIU Lu;ZHANG Xinuo;KANG Nan(Department of Orthopedics,Beijing Chao-Yang Hospital,Capital Medical University,Beijing,100020,P.R.China)

机构地区：[1]首都医科大学附属朝阳医院骨科,北京100020

出　　处：《中国修复重建外科杂志》2024年第12期1510-1516,共7页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：北京市临床重点专科项目。

摘　　要：目的综述单侧双通道脊柱内镜(unilateral biportal endoscopy,UBE)技术的应用现状、临床优势及并发症,并探讨其未来发展方向。方法通过回顾近年来国内外相关文献,分析UBE技术的演变历史、手术优势及其在不同脊柱疾病中的应用效果,并对其进行综述。结果UBE技术凭借其独特的双通道设计,在提供更清晰术野和灵活操作空间的同时,显著降低了手术创伤和术后恢复时间。UBE技术在治疗腰椎间盘突出症、腰椎管狭窄症、腰椎不稳及颈椎病等方面展现出较高的安全性和良好临床疗效。此外,UBE技术的并发症发生率较传统开放手术低。结论近年来UBE技术展现了良好的临床应用前景和疗效,但仍需进一步技术优化和大规模临床研究,以确保手术的安全性和有效性。未来,UBE技术与智能医疗及外科机器人技术的结合,有望推动脊柱外科领域进一步发展。Objective To review the application status,clinical advantages,and complications of unilateral biportal endoscopy(UBE)technique and explore its future development direction.Methods By reviewing recent domestic and international literature,the evolution history of UBE technique,its surgical advantages,and its application effectiveness in various spinal diseases were analyzed,providing a comprehensive review.Results UBE technique,with its unique dual-channel design,provides a clearer surgical field and more flexible operating space,significantly reduces surgical trauma and postoperative recovery time.UBE technique has demonstrated high safety and effectiveness in the treatment of lumbar disc herniation,spinal stenosis,lumbar instability,and cervical spondylosis.Additionally,the complication incidence of UBE surgery is lower than that of traditional open surgery.Conclusion In recent years,UBE technique has shown good clinical application prospects and efficacy,but further technical optimization and large-scale clinical research are still needed to ensure the safety and effectiveness.In the future,the combination of UBE technique and intelligent medical and surgical robotics technology is expected to promote the further development of spinal surgery.

关 键 词：单侧双通道脊柱内镜技术 脊柱手术 应用现状 

分 类 号：R687.3[医药卫生—骨科学]