单侧双通道脊柱内镜技术的发展简史、全球现状与中国使命

Brief history,global trends,and Chinese mission of unilateral biportal endoscopy technique

当前的单侧双通道脊柱内镜(unilateral biportal endoscopy,UBE)技术起源于阿根廷,发展于韩国,近年来在中国得到了迅猛发展和普及。脊柱内镜技术在体内利用摄像系统并持续液体灌洗下,可提供更清晰术野,减小手术创伤、加快患者康复,在脊柱外科中的应用越来越广泛。UBE技术将与单通道脊柱内镜技术一起推动中国脊柱内镜技术的普及率。同时双通道脊柱内镜具有更好的拓展性,加上辅助切口的应用,为相对更复杂脊柱疾病的内镜手术治疗提供了一种可能。中国医生应更好地理解脊柱内镜技术发展趋势,抓住学科发展机遇,在国际范围内推动UBE技术的普及。

The current unilateral biportal endoscopy(UBE)technique was originated from Argentina and developed in South Korea,which was rapidly growing and popularizing in China.The adoption of spinal endoscopy,using small cameras placed inside body with continuous water irrigation,providing better surgical field with less tissue dissection and quicker recovery for patients.As with other disciplines,the use of spinal endoscopy in spinal surgery will become increasingly widespread.UBE technique will promote the popularization of spinal endoscopy in China with monoportal endoscopy technique.At the same time,biportal endoscopy has better expansibility,the application of accessory incision may provide solution for more complicated spinal disease.Chinese spine surgeon should better understand the trends in spinal endoscopy,seize the opportunity of the rapidly evolving in spinal healthcare,and to promote the popularization of UBE across the globe.