单侧双通道脊柱内镜技术治疗腰椎退行性疾病手术入路研究进展
Research Advances in Surgical Approaches of Unilateral Biportal Endoscopy Technique for Treating Lumbar Degenerative Diseases
DOI: 10.12677/acm.2025.1572011, PDF,    科研立项经费支持
作者: 郝 帅, 康旭鹏, 张 凯：西安医学院研究生院，陕西 西安；陕西省人民医院骨科，陕西 西安；高正超, 田 昕, 段大鹏*：陕西省人民医院骨科，陕西 西安
关键词: 单侧双通道脊柱内镜技术；腰椎退行性疾病；手术入路；临床疗效；适应症；Unilateral Biportal Endoscopy (UBE) Technique； Lumbar Degenerative Diseases； Surgical Approaches； Clinical Efficacy； Indications
摘要: 单侧双通道脊柱内镜(Unilateral Biportal Endoscopy, UBE)技术作为脊柱外科领域的重要创新，在脊柱疾病治疗中得到广泛应用。在腰椎UBE手术中，不同的手术入路是该技术的核心组成部分，直接影响手术疗效。本文系统梳理近年来国内外相关文献，对UBE技术的常见手术入路，包括经椎板间入路、对侧入路(包括对侧经椎板入路、对侧椎板下入路)、椎旁入路、对侧倾斜入路(Contralateral inclinatory approach，CIA入路)、corner入路等进行综述，分析各种入路在治疗不同腰椎疾病中的解剖学特点、临床疗效、优势及局限性，深入探讨其研究现状与临床挑战，旨在为临床医生选择个性化手术方案提供循证医学依据。
Abstract: Unilateral Biportal Endoscopy (UBE), a groundbreaking advancement in spinal surgical technology, has demonstrated extensive clinical implementation for managing spinal pathologies. In lumbar UBE procedures, the selection of surgical approaches serves as a critical determinant of therapeutic success, with direct implications for surgical outcomes. Through systematic analysis of global evidence, this review delineates five principal UBE approaches: interlaminar, contralateral (incorporating translaminar and sublaminal variations), paraspinal, contralateral inclinatory (CIA), and corner approaches. Each approach undergoes rigorous evaluation of its anatomical feasibility, therapeutic outcomes, technical merits, and constraints across diverse lumbar pathological presentations. This synthesis identifies persistent knowledge gaps and technical limitations while proposing decision-making algorithms to optimize approach selection based on individualized pathoanatomical configurations.
文章引用：郝帅, 康旭鹏, 张凯, 高正超, 田昕, 段大鹏. 单侧双通道脊柱内镜技术治疗腰椎退行性疾病手术入路研究进展[J]. 临床医学进展, 2025, 15(7): 465-473. https://doi.org/10.12677/acm.2025.1572011

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