单侧双通道内镜下髓核摘除术治疗腰椎间盘突出症  

Unilateral Biportal Endoscopy Removal of Nucleus Pulposus for the Treatment of Lumbar Disc Herniation

作　　者：高凤 柳远春 刘扬[3] 刘文俊[3] 蔡惠丽 包睿智 杨调 Gao Feng;Liu Yuanchun;Liu Yang;Liu Wenjun;Cai Huili;Bao Ruizhi;Yang Diao(Department of Geriatrics,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Orthopedics,Zigui County People's Hospital,Zigui 443600,China;Department of Spinal Surgery,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Hematopathology,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]老年病科,湖北宜昌443003 [2]秭归县人民医院骨科,湖北秭归443600 [3]三峡大学第一临床医学院[宜昌市中心人民医院]脊柱外科,湖北宜昌443003 [4]三峡大学第一临床医学院[宜昌市中心人民医院]血液内科,湖北宜昌443003

出　　处：《巴楚医学》2025年第1期12-14,共3页Bachu Medical Journal

基　　金：湖北省自然科学基金项目(2024AFD130)。

摘　　要：腰椎间盘突出症(LDH)是中老年人常见病、多发病,外科手术治疗能解除突出椎间盘对神经根及硬膜囊的压迫,缓解患者的临床症状,是腰椎间盘突出的重要治疗手段之一。随着脊柱内镜技术和手术器械的不断改进,单侧双通道内镜(UBE)下髓核摘除术作为一种新兴的脊柱外科微创手术方式,近几年已广泛应用于治疗LDH。本文介绍UBE下髓核摘除术的详细操作步骤,为LDH患者的手术治疗提供参考。Lumbar disc herniation(LDH)is a common and frequently occurring disease among middle-aged and elderly people.Surgical treatment can relieve the compression of the herniated disc on the nerve root and dural sac,alleviate the patient's clinical symptoms,which is one of the important treatment methods for LDH.With the continuous improvement of spinal endoscopic technology and surgical instruments,unilateral biportal endoscopy(UBE)removal of nucleus pulposus has been widely used in the treatment of LDH in recent years as an emerging minimally invasive spinal surgical technique.This article introduces the detailed operating procedures of UBE removal of nucleus pulposus,providing a reference for the surgical treatment of LDH patients.

关 键 词：单侧双通道内镜技术 髓核摘除术 腰椎间盘突出症 

分 类 号：R687.3[医药卫生—骨科学]