单孔分体内镜下椎管松解术治疗腰椎管狭窄症  

Spinal Canal Decompression for the Treatment of Lumbar Spinal Stenosis under One-Hole Split Endoscopy

作　　者：刘清源 江新 陈华 胡静 李琳 董石磊 Liu Qingyuan;Jiang Xin;Chen Hua;Hu Jing;Li Lin;Dong Shilei(The First Clinical College of Hubei University of Chinese Medicine,Wuhan 430065,China;Department of Minimally Invasive Spine Surgery and Trauma,Hubei Provincial Hospital of Traditional Chinese Medicine,Affiliated Hospital of Hubei University of Chinese Medicine,Wuhan 430061,China)

机构地区：[1]湖北中医药大学第一临床学院,湖北武汉430065 [2]湖北中医药大学附属医院[湖北省中医院]脊柱微创与创伤科,湖北武汉430061

出　　处：《巴楚医学》2025年第1期15-18,共4页Bachu Medical Journal

摘　　要：腰椎管狭窄症(LSS)是骨科常见的退行性脊柱疾病,治疗方案主要为保守治疗和手术治疗。其中,脊柱内镜技术是目前较为常见的手术治疗方式。单孔分体内镜(OSE)技术是近年来提出的一种脊柱内镜术式,其特征是无固定通道限制。在OSE辅助下,内镜与操作器械在一个切口通道内分开工作且相互配合。该技术兼具单通道椎间孔内镜技术和单侧双通道脊柱内镜技术的优势,是一种安全、高效的新脊柱内镜术式。本文详细介绍OSE辅助下椎管松解术治疗LSS的操作过程,为临床医生提供经验参考。Lumbar spinal stenosis(LSS)is a common degenerative spinal disease in orthopedics,with treatment options mainly consisting of conservative and surgical treatments.Spinal endoscopic techniques are currently one of the more common surgical treatment methods.One-hole split endoscope(OSE)is a spinal endoscopic procedure proposed in recent years,characterized by the absence of fixed channel restrictions.With OSE assistance,the endoscope and operating instruments work separately within a single incision channel and cooperate with each other.This technique combines the advantages of uniportal endoscopic and unilateral biportal endoscopy techniques,making it a safe and efficient new spinal endoscopic procedure.This article provides a detailed introduction to the operative process of spinal canal decompression under OSE assistance for the treatment of LSS,offering clinical experience for reference to physicians.

关 键 词：腰椎管狭窄症 单孔分体内镜 椎管松解术 

分 类 号：R687.3[医药卫生—骨科学]