Clinical application and perspectives of unilateral biportal endoscopic technique
10.11855/j.issn.0577-7402.1975.2023.0221
- VernacularTitle:单侧双通道内镜技术的临床应用与展望
- Author:
Zhen HU
1
;
Yang YANG
;
Shu-Xiong ZHAO
;
Qun-Li ZHANG
;
Tong-Tong ZHANG
;
Lin LIU
Author Information
1. 甘肃中医药大学第一临床医学院,甘肃兰州 730000
- Keywords:
unilateral biportal endoscopic technique;
minimally invasive spine technology;
lumbar spinal stenosis;
lumbar disc herniation;
lumbar spondylolisthesis
- From:
Medical Journal of Chinese People's Liberation Army
2024;49(3):349-354
- CountryChina
- Language:Chinese
-
Abstract:
Unilateral biportal endoscopic(UBE)technique is a minimally invasive spinal technique developed rapidly in recent years.Compared with traditional spinal endoscopy,the prominent feature of UBE is that it can open two channels on the same side of the spine,which can be used to provide visual field and insert operating instruments respectively,greatly expanding the operating space and reducing the difficulty of surgery.It has the advantages of less bleeding,little injury,quick recovery and mild pain,and has unique advantages in the treatment of lumbar spinal stenosis,lumbar disc herniation and other lumbar degenerative diseases.With the continuous in-depth exploration and development of the UBE technique,the field of diseases that can be treated by this technology has gradually expanded.It is not only limited to lumbar diseases,but also has made great progress in cervical and thoracic diseases,which has attracted the attention of many spinal surgeons.UBE technique has become one of the promising surgical methods for spinal-related diseases,but there are also complications such as incomplete decompression,nerve root and dural injury,epidural hematoma,relatively prolonged operation time,operation fatigue and other deficiencies.This paper summarizes the progress of the UBE technique,discusses its complications and deficiencies,proposes relevant solutions and possible future directions for its development,so as to provide reference for the clinical practice of UBE technique.