单侧双通道内镜技术治疗腰椎退行性疾病的研究进展

Research Progress of Unilateral Biportal En-doscopy in the Treatment of Degenerative Lumbar Spinal Diseases

目的:为单侧双通道内镜技术(unilateral biportal endoscopy, UBE)治疗腰椎退行性疾病的研究和进展做出总结。方法:通过广泛查阅国内外使用UBE技术治疗腰椎退行性疾病的文献资料,对UBE技术的发展及演变历史、在临床中的应用、手术操作要点以及UBE技术的不足、优势及展望等方面进行综述。结果:UBE作为一种新型的脊柱内镜手术,是腰椎微创减压和融合手术的新的选择,但与传统开放手术、显微镜及单通道内镜技术比较,其长期疗效还需更高等级的科学证据支持。结论:单侧双通道内镜技术治疗腰椎退行性疾病的临床疗效较好,手术创伤及并发症较少,是治疗腰椎退行性疾病的一种安全有效的手术方式。

Objective: To summarize the research progress of unilateral biportal endoscopy (UBE) in the treatment of degenerative lumbar spinal diseases. Methods: Through extensive literature review of the use of UBE technology in the treatment of UBE in the treatment of degenerative lumbar spinal diseases in China and abroad, the development and evolution of UBE technology, clinical applica-tion, surgical operation points, as well as the shortcomings, advantages and prospects of UBE tech-nology were summarized. Results: As a new spinal endoscopic procedure, UBE can provide a new approach to minimally invasive lumbar decompression and interbody fusion surgery. However, its long-term efficacy needs to be supported by high-grade evidence compared to conventional surgery, full endoscopic and microscopy. This is also a limitation of this study, so a multicenter study with a large sample and long-term follow-up is needed to assess the long-term efficacy of this technique. Conclusion: UBE is a safe and effective procedure for the treatment of degenerative lumbar spinal diseases, with good clinical efficacy and less surgical trauma and complications.