水介质单通道脊柱内镜下腰椎椎间融合术临床进展

The Research Progress of Water-Based Single Channel Endoscopic Lumbar Interbody Fusion

摘要: 随着中国社会的老龄化，腰椎退行性疾病在患者中的发病率逐渐增加，导致如腰背痛、腰椎活动度下降以及下肢感觉和运动功能异常等一系列问题。近年来，水介质单通道脊柱内镜下腰椎椎间融合术(以下简称“镜下融合”)逐渐受到重视。这种技术的优势在于能够使用常规手术器械，具备清晰的镜下视野和较大的操作角度，同时对椎旁肌肉的损伤较小，减少了对多裂肌的过度剥离，术后能够更好地维持脊柱及运动系统的稳定性，从而帮助患者更早恢复正常生活。基于这些优点，镜下融合得到了快速发展。本研究将对近年来镜下融合的研究进展进行综述。

Abstract: With the aging of society in China, the incidence of lumbar degenerative diseases is increasing gradually, which leads to a series of problems, such as low back pain, decreased lumbar mobility and abnormal sensory and motor functions of lower limbs. In recent years, the water-based single channel endoscopic lumbar interbody fusion (hereinafter referred to as “endoscopic lumbar interbody fusion”) has been paid more and more attention. The advantage of this technique is that it can use conventional surgical instruments, and has a clear field of vision under the microscope and a large operating angle. At the same time, it has less damage to paraspinal muscles, reduces excessive peeling of multifidus muscles, and can better maintain the stability of the spine and motor system after surgery, thus helping patients to return to normal life earlier. Based on these advantages, the endoscopic lumbar interbody fusion has developed rapidly. This study will summarize the research progress of the endoscopic lumbar interbody fusion in recent years.