单侧双通道脊柱内镜技术在治疗腰椎管狭窄症中的应用进展及思考

Progress and Thinking of the Application of Unilateral Two-Channel Spinal Endoscopy in the Treatment of Lumbar Spinal Stenosis

腰椎管狭窄症(lumbar spinal stenosis,LSS)是指各种因素引起的椎管内纤维组织增厚或骨质增生,从而压迫刺激神经根或脊髓,以间歇性跛行为典型临床表现的疾病。随着脊柱外科微创技术的不断发展以及国内外研究的深入,单侧双通道脊柱内镜(UBE)技术因具有更大的手术视野、更灵活的器械操作以及良好的预后等优势,使得其在腰椎管狭窄症的临床治疗中得到广泛应用且显示了较为理想的临床疗效,逐渐呈现出复兴的态势。本文就UBE技术特点及其在治疗腰椎管狭窄症的临床应用现状及价值作一综述。

Lumbar spinal stenosis(LSS)is defined as thickening of fibrous tissue in the spinal canal or osteogenesis resulting in compression and stimulation of the nerve roots or spinal cord typical of intermittent claudication.With the minimally invasive spinal surgery technology unceasing development and the deepening of the research at home and abroad,unilateral dual channel spinal endoscope(UBE)technology for more surgery field of vision,a more flexible instrument operation and the advantages of the better prognosis,make it in the clinical treatment of lumbar spinal stenosis disease is widely used and shows the ideal clinical curative effect,gradually shows a tendency of revival.This article reviews the characteristics of UBE technique and its clinical application and value in the treatment of lumbar spinal stenosis.