单侧双通道脊柱内镜技术在腰椎管狭窄中的应用进展及思考

郭 天落1, 胡 培冉1, 郝 岩2, 阿 尖措2
1、青海大学研究生院;青海红十字医院脊柱外科
2、青海红十字医院脊柱外科

摘要


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。是一种腰椎退行性疾病，常见于中老年人。近年来，随着脊柱微创外科技术和内镜可视化技
术的不断发展，单侧双通道内镜（UBE）技术在治疗各种脊柱外科疾病方面表现出色。本文总结了UBE治疗腰椎管
狭窄症（LSS）的临床应用进展，为临床治疗提供了有益的参考。

关键词


腰椎管狭窄症；单侧双通道脊柱内镜技术；综述

全文:

PDF


参考


[1]PAO J L, LIN S M, CHEN W C, et al. Unilateral

biportal endoscopic decompression for degenerative lumbar

canal stenosis [J]. J Spine Surg, 2020, 6(2): 438-46.

[2]HU Y T, FU H, YANG D F, et al. [Comparative

study of decompression of unilateral biportal endoscopic

compared to laminectomy with fusion and internal fixation in

the treatment of severe lumbar spinal stenosis] [J]. Zhonghua

Yi Xue Za Zhi, 2022, 102(41): 3281-7.

[3]黄吉军，王永祥，杨建东，et al.单侧双通道内镜

技术治疗脱垂型腰椎间盘突出症的早期疗效 [J].中国修复

重建外科杂志 [J].1-5.

[4]XIE X, ZHANG G, LIU N. Clinical effect of

unilateral biportal endoscopy in the treatment of lumbar

diseases: a systematic review and meta-analysis [J]. Wideochir

Inne Tech Maloinwazyjne, 2022, 17(1): 61-8.

[5]HWA EUM J, HWA HEO D, SON S K, et al.

Percutaneous biportal endoscopic decompression for lumbar

spinal stenosis: a technical note and preliminary clinical results

[J]. J Neurosurg Spine, 2016, 24(4): 602-7.

[6 ]PEREZ E G, SANTANDER X A, LL INAS

AMENGUAL P, et al. Biportal Endoscopic Spine Surgery:

Clinical Results for 163 Patients [J]. World Neurosurg, 2023,

180: e676-e85.

[7 ]HUA W, LIAO Z, CHEN C, et al. Clinical

Outcomes of Uniportal and Biportal Lumbar Endoscopic

Unilateral Laminotomy for Bilateral Decompression in

Patients with Lumbar Spinal Stenosis: A Retrospective PairMatched Case-Control Study [J]. World Neurosurg, 2022,

161: e134-e45.

[8]LI T, YANG G, ZHONG W, et al. Percutaneous

endoscopic transforaminal vs. interlaminar discectomy for L5-

S1 lumbar disc herniation: a retrospective propensity score

matching study [J]. J Orthop Surg Res, 2024, 19(1): 64.

[9]TORUDOM Y, DILOKHUTTAKARN T. Two

Portal Percutaneous Endoscopic Decompression for Lumbar

Spinal Stenosis: Preliminary Study [J]. Asian Spine J, 2016,

10(2): 335-42.

[10]MULLER S J, BURKHARDT B W, OERTEL J

M. Management of Dural Tears in Endoscopic Lumbar Spinal

Surgery: A Review of the Literature [J]. World Neurosurg,

2018, 119: 494-9.

[11]LEE H G, KANG M S, KIM S Y, et al. Dural Injury

in Unilateral Biportal Endoscopic Spinal Surgery [J]. Global

Spine J, 2021, 11(6): 845-51.

[ 1 2 ] SO L IMAN H M . I r r i g at i o n e n d o s c o p i c

decompressive laminotomy. A new endoscopic approach

for spinal stenosis decompression [J]. Spine J, 2015, 15(10):

2282-9.

[13]GUO S, YU Z, WANG C, et al. Risk Factors of

Hidden Blood Loss in Unilateral Biportal Endoscopic Surgery

for Patients with Lumbar Spinal Stenosis [J]. Orthop Surg,

2024, 16(4): 842-50.

[14]WANG H, WANG K, LV B, et al. Analysis of

risk factors for perioperative hidden blood loss in unilateral

biportal endoscopic spine surgery: a retrospective multicenter

study [J]. J Orthop Surg Res, 2021, 16(1): 559.

[15]KOTIL K. Closed Drainage versus Non-Drainage

for Single-Level Lumbar Disc Surgery: Relationship between

Epidural Hematoma and Fibrosis [J]. Asian Spine J, 2016,

10(6): 1072-8.

[16]ANNO M, YAMAZAKI T, HARA N, et al. The

Incidence, Clinical Features, and a Comparison Between

Early and Delayed Onset of Postoperative Spinal Epidural

Hematoma [J]. Spine (Phila Pa 1976), 2019, 44(6): 420-3.

[17 ]AMIRI A R, FOUYAS I P, CRO S, et al.

Postoperative spinal epidural hematoma (SEH): incidence, risk

factors, onset, and management [J]. Spine J, 2013, 13(2): 134-

40.


Refbacks

  • 当前没有refback。