单侧双通道内镜下椎间融合术在腰椎退行性疾病中的应用现状

Application Status of Unilateral Biportal Endoscopic Lumbar Interbody Fusion in Lumbar Degenerative Diseases

[目的]对单侧双通道内镜下腰椎椎间融合术在腰椎退行性疾病中的应用现状进行综述。[方法]作者通过查阅中外关于单侧双通道内镜下腰椎椎间融合术治疗腰椎退行性疾病的相关文献,综述其发展历程、应用现状、手术方式、并发症等。[结果]单侧双通道内镜下腰椎椎间融合术在腰椎退行性疾病中应用日益广泛,主要应用于腰椎管狭窄症及腰椎滑脱患者,发展出了数种手术方式,其并发症主要包括硬膜撕裂、硬膜外血肿、神经损伤或刺激。[结论]单侧双通道内镜下腰椎椎间融合术在腰椎退行性疾病领域目前取得较为满意的疗效,具有突出优势,其发展前景广阔。

Objective: To review the application of Unilateral biportal endoscopic lumbar interbody fusion in lumbar degenerative diseases. Methods: The author reviewed the literature on the treatment of lumbar degenerative diseases by Unilateral biportal endoscopic lumbar interbody fusion at home and abroad, and summarized its development history, application status, surgical methods, and complications. Results: Unilateral biportal endoscopic lumbar interbody fusion is increasingly widely used in lumbar degenerative diseases. It is mainly used in patients with lumbar spinal ste-nosis and lumbar spondylolisthesis. Several surgical methods have been developed. The complica-tions mainly include dural tear, epidural hematoma, nerve injury or stimulation. Conclusion: Uni-lateral biportal endoscopic lumbar interbody fusion has achieved satisfactory results in the field of lumbar degenerative diseases, with outstanding advantages and broad development prospects.