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[单侧双通道内镜技术在颈椎退行性疾病中的研究进展]

[Research progress of unilateral biportal endoscopy technology in cervical degenerative disease].

作者信息

Tang Runmin, Tan Lixian, Lai Guoqiang, Rong Limin, Zhang Liangming

机构信息

Department of Spine Surgery, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong, 510630, P. R. China.

Department of Trauma and Joint Surgery, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong, 510630, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2025 Apr 15;39(4):495-503. doi: 10.7507/1002-1892.202412037.

Abstract

OBJECTIVE

To review the application and progress of unilateral biportal endoscopy (UBE) technology in the treatment of cervical degenerative diseases, and to provide reference for clinical treatment decisions.

METHODS

The literature related to UBE technology in the treatment of cervical spondylotic radiculopathy (CSR) and cervical spondylotic myelopathy (CSM) at home and abroad was extensively reviewed, and the surgical methods, indications, effectiveness, and safety were analyzed and summarized.

RESULTS

UBE technology is effective in the treatment of CSR and CSM, and has the advantages of good surgical field, reducing the injury of the posterior structure of the cervical spine, and protecting the facet joint process, but in general, the indications are relatively narrow, limited to single-segment or adjacent double-segment lesions, and the requirements for the operator are relatively high, and the learning curve is long.

CONCLUSION

UBE technology can be applied to the treatment of CSR and CSM, but it needs to be carried out by experienced UBE surgeons for specific cases.

摘要

目的

回顾单侧双通道内镜(UBE)技术在颈椎退行性疾病治疗中的应用及进展,为临床治疗决策提供参考。

方法

广泛查阅国内外有关UBE技术治疗神经根型颈椎病(CSR)和脊髓型颈椎病(CSM)的文献,并对手术方法、适应证、有效性及安全性进行分析总结。

结果

UBE技术治疗CSR和CSM有效,具有手术视野良好、减少颈椎后部结构损伤、保护小关节突等优点,但总体适应证相对较窄,局限于单节段或相邻双节段病变,对术者要求较高,学习曲线较长。

结论

UBE技术可应用于CSR和CSM的治疗,但需由经验丰富的UBE手术医生针对具体病例实施。

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