UBE内镜技术治疗腰椎相关疾病进展及展望
Advances and Perspectives in UBE Endoscopic Techniques for the Treatment of Lumbar Spine Related Disorders
DOI: 10.12677/acm.2024.1451405, PDF,   
作者: 阿迪力·艾尼*：新疆医科大学研究生院，新疆 乌鲁木齐；李洪伟#：新疆维吾尔自治区人民医院骨科中心，新疆 乌鲁木齐
关键词: 单侧双通道脊柱内镜；脊柱微创；腰椎退行性疾病；Unilateral Biportal Endoscopy； Minimally Invasive Spine； Lumbar Degenerative Disease
摘要: 作者根据参考文献和数据总结分析了UBE内镜技术治疗腰椎相关疾病进展及展望。UBE作为一种新的脊柱内镜技术，为镜下减压、融合提供了一种微创术式。与脊柱传统开放手术相比，手术创伤小，并发症少，是治疗腰椎退行性疾病的有效方法。但其长期疗效尚需进一步的科学验证。
Abstract: The authors summarized and analyzed the progress and outlook of UBE endoscopic techniques for the treatment of lumbar spine related disorders based on references and data. UBE, as a new spinal endoscopic technique, provides a minimally invasive procedure for microscopic decompression and fusion. Compared with traditional open surgery of the spine, it is less invasive and has fewer complications, making it an effective treatment for lumbar degenerative diseases. However, its long-term efficacy needs further scientific validation.
文章引用：阿迪力·艾尼, 李洪伟. UBE内镜技术治疗腰椎相关疾病进展及展望[J]. 临床医学进展, 2024, 14(5): 119-123. https://doi.org/10.12677/acm.2024.1451405

参考文献

[1] 余可谊. 单侧双通道脊柱内镜技术的发展简史、全球现状与中国使命[J]. 中国修复重建外科杂志, 2022, 36(10): 1181-1185.
[2] 李志伟. 椎管灵方治疗退行性腰椎管狭窄症寒湿痹阻证临床与实验研究[D]: [博士学位论文]. 南京: 南京中医药大学, 2008.
[3] Kambin, P. and Gellman, H. (1983) Percutaneous Lateral Discectomy of the Lumbar Spine A Preliminary Report. Clinical Orthopaedics and Related Research, 174, 127-132. [Google Scholar] [CrossRef] 
[4] 张西峰, 张琳. 脊柱内镜技术的历史、现状与发展[J]. 中国疼痛医学杂志, 2015, 21(2): 81-85.
[5] 孔凡国, 周全, 乔杨, 等. 单侧双通道内镜下与微创通道下经椎间孔腰椎间融合术治疗腰椎退行性疾病的疗效比较[J]. 中国修复重建外科杂志, 2022, 36(5): 592-599.
[6] Song, K.-S., Lee, C.-W. and Moon, J.-G. (2019) Biportal Endoscopic Spinal Surgery for Bilateral Lumbar Foraminal Decompression by Switching Surgeon’s Position and Primary 2 Portals: A Report of 2 Cases with Technical Note. Neurospine, 16, 138-147. [Google Scholar] [CrossRef] [PubMed]
[7] Park, J.H., Jun, S.G., Jung, J.T., et al. (2017) Posterior Percutaneous Endoscopic Cervical Foraminotomy and Diskectomy with Unilateral Biportal Endoscopy. Orthopedics, 40, e779-e783. [Google Scholar] [CrossRef] [PubMed]
[8] Heo, D.H., Son, S.K., Eum, J.H., et al. (2017) Fully Endoscopic Lumbar Interbody Fusion Using a Percutaneous Unilateral Biportal Endoscopic Technique: Technical Note and Preliminary Clinical Results. Neurosurgical Focus, 43, E8. [Google Scholar] [CrossRef] 
[9] Kim, J.-E. and Choi, D.-J. (2018) Bi-Portal Arthroscopic Spinal Surgery (BASS) with 30˚ Arthroscopy for Far Lateral Approach of L5-S1—Technical Note. Journal of Orthopaedics, 15, 354-358. [Google Scholar] [CrossRef] [PubMed]
[10] Özer, M.İ. and Demirtaş, O.K. (2023) Comparison of Lumbar Microdiscectomy and Unilateral Biportal Endoscopic Discectomy Outcomes: A Single-Center Experience. Journal of Neurosurgery: Spine, 40, 351-358. [Google Scholar] [CrossRef] 
[11] Eum, J.H., Heo, D.H., Son, S.K., et al. (2016) Percutaneous Biportal Endoscopic Decompression for Lumbar Spinal Stenosis: A Technical Note and Preliminary Clinical Results. Journal of Neurosurgery: Spine, 24, 602-607. [Google Scholar] [CrossRef] 
[12] Yu, Q., Hu, X., et al. (2023) Early Efficacy and Safety of Unilateral Biportal Endoscopic Lumbar Interbody Fusion versus Minimal Invasive in the Treatment of Lumbar Degenerative Diseases. Clinical Spine Surgery, 36, E390-E396. [Google Scholar] [CrossRef] 
[13] Kim, S.-K., Kang, S.-S., et al. (2018) Clinical Comparison of Unilateral Biportal Endoscopic Technique versus Open Microdiscectomy for Single-Level Lumbar Discectomy: A Multicenter, Retrospective Analysis. Journal of Orthopaedic Surgery and Research, 13, Article No. 22. [Google Scholar] [CrossRef] [PubMed]
[14] 朱斌, 田大胜, 陈磊, 等. 单边双通道内镜技术在腰椎疾病中的应用研究进展[J]. 中华骨科杂志, 2020, 40(15): 1030-1038. [Google Scholar] [CrossRef] 
[15] Merter, A., Karaeminogullari, O. and Shibayama, M. (2020) Comparison of Radiation Exposure among 3 Different Endoscopic Diskectomy Techniques for Lumbar Disk Herniation. World Neurosurgery, 139, e572-e579. [Google Scholar] [CrossRef] [PubMed]
[16] Choi, C.-M. (2020) Biportal Endoscopic Spine Surgery (BESS): Considering Merits and Pitfalls. Journal of Spine Surgery, 6, 457-465. [Google Scholar] [CrossRef] [PubMed]
[17] Kim, J.-E., Choi, D.-J. and Park, E.J. (2020) Risk Factors and Options of Management for an Incidental Dural Tear in Biportal Endoscopic Spine Surgery. Asian Spine Journal, 14, 790-800. [Google Scholar] [CrossRef] [PubMed]
[18] 王宁, 贝朝涌, 万健, 等. 单侧双通道脊柱内镜技术行腰椎椎间融合术学习曲线研究[J]. 中国修复重建外科杂志, 2022, 36(10): 1229-1233.
[19] Heo, D.H., Lee, D.C. and Park, C.K. (2019) Comparative Analysis of Three Types of Minimally Invasive Decompressive Surgery for Lumbar Central Stenosis: Biportal Endoscopy, Uniportal Endoscopy, and Microsurgery. Neurosurgical Focus, 46, E9. [Google Scholar] [CrossRef] 
[20] Kang, M.-S., You, K.-H., Choi, J.-Y., et al. (2021) Minimally Invasive Transforaminal Lumbar Interbody Fusion Using the Biportal Endoscopic Techniques versus Microscopic Tubular Technique. The Spine Journal, 21, 2066-2077. [Google Scholar] [CrossRef] [PubMed]
[21] Park, M.-K., Park, S.-A., et al. (2019) Clinical and Radiological Outcomes of Unilateral Biportal Endoscopic Lumbar Interbody Fusion (ULIF) Compared with Conventional Posterior Lumbar Interbody Fusion (PLIF): 1-Year Follow-Up. Neurosurgical Review, 42, 753-761. [Google Scholar] [CrossRef] [PubMed]
[22] Ahn, J.-S., Lee, H.-J., et al. (2018) Extraforaminal Approach of Biportal Endoscopic Spinal Surgery: A New Endoscopic Technique for Transforaminal Decompression and Discectomy. Journal of Neurosurgery: Spine, 28, 492-498. [Google Scholar] [CrossRef] 
[23] Park, H.J., Kim, S.K., Lee, S.C., et al. (2020) Dural Tears in Percutaneous Biportal Endoscopic Spine Surgery: Anatomical Location and Management. World Neurosurgery, 136, e578-e585. [Google Scholar] [CrossRef] [PubMed]
[24] Kang, M.-S., Heo, D.H., et al. (2021) Biportal Endoscopic Technique for Transforaminal Lumbar Interbody Fusion: Review of Current Research. International Journal of Spine Surgery, 15, S84-S92. [Google Scholar] [CrossRef] [PubMed]
[25] Lee, H.G., Kang, M.S., et al. (2020) Dural Injury in Unilateral Biportal Endoscopic Spinal Surgery. Global Spine Journal, 11, 845-851. [Google Scholar] [CrossRef] [PubMed]
[26] 安立琨, 藏磊, 袁硕, 等. 经皮内镜下腰椎间盘切除术治疗老年腰椎退行性疾病的探讨[J]. 中国骨与关节杂志, 2019, 8(11): 842-849.

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